Provider First Line Business Practice Location Address:
951 ACADEMY PL
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:
15243-2023
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-561-5775
Provider Business Practice Location Address Fax Number:
412-561-2002
Provider Enumeration Date:
07/19/2005