Provider First Line Business Practice Location Address:
2912 GLENMORE AVE
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:
15216-2042
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-563-1132
Provider Business Practice Location Address Fax Number:
412-561-2117
Provider Enumeration Date:
03/12/2008