Provider First Line Business Practice Location Address:
418 UPPER RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PITTSBURGH
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15228-1041
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-952-8678
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/22/2010