Provider First Line Business Practice Location Address:
76 OLD CLAIRTON RD
Provider Second Line Business Practice Location Address:
SUITE 1
Provider Business Practice Location Address City Name:
PITTSBURGH
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15236-3915
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-653-1115
Provider Business Practice Location Address Fax Number:
412-653-5337
Provider Enumeration Date:
07/11/2005