Provider First Line Business Practice Location Address:
200 LOTHROP ST
Provider Second Line Business Practice Location Address:
BENEDUM GERIATRIC CENTER - UPMC MONTEFIORE, 4 EAST
Provider Business Practice Location Address City Name:
PITTSBURGH
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15213-2536
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-692-4232
Provider Business Practice Location Address Fax Number:
412-692-4223
Provider Enumeration Date:
02/03/2011