Provider First Line Business Practice Location Address:
1358 POPLAR STREET
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:
15205-1520
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-922-2010
Provider Business Practice Location Address Fax Number:
412-922-5652
Provider Enumeration Date:
08/31/2005