Provider First Line Business Practice Location Address:
1344 FREEPORT RD STE 1A
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:
15238-3118
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-242-4222
Provider Business Practice Location Address Fax Number:
412-406-8297
Provider Enumeration Date:
02/16/2026