Provider First Line Business Practice Location Address:
55 OLD CLAIRTON RD STE 101
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:
15236-3904
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-466-4930
Provider Business Practice Location Address Fax Number:
412-714-4841
Provider Enumeration Date:
05/19/2026