Provider First Line Business Practice Location Address: 
240 MOUNT LEBANON 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: 
15234-1243
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
412-561-7541
    Provider Business Practice Location Address Fax Number: 
412-561-2366
    Provider Enumeration Date: 
04/03/2006