Provider First Line Business Practice Location Address:
1100 WASHINGTON AVE STE 112
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CARNEGIE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15106-3615
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-965-6969
Provider Business Practice Location Address Fax Number:
412-332-2692
Provider Enumeration Date:
10/21/2026