Provider First Line Business Practice Location Address:
UNIVERSITY DR
Provider Second Line Business Practice Location Address:
BLDG. 1, 10 EAST, RM 133
Provider Business Practice Location Address City Name:
PITTSBURGH
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15240
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-360-6185
Provider Business Practice Location Address Fax Number:
412-360-6920
Provider Enumeration Date:
01/30/2006