Provider First Line Business Practice Location Address:
200 LOTHROP ST
Provider Second Line Business Practice Location Address:
UPMC PRESBYTERIAN, ROOM C 107
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:
412-647-4296
Provider Business Practice Location Address Fax Number:
412-647-6703
Provider Enumeration Date:
04/20/2007