Provider First Line Business Practice Location Address:
4684 CLAIRTON BLVD
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:
15236-2114
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-881-9333
Provider Business Practice Location Address Fax Number:
412-881-3522
Provider Enumeration Date:
07/14/2005