Provider First Line Business Practice Location Address:
4290 ROUTE 8
Provider Second Line Business Practice Location Address:
SUITE 205
Provider Business Practice Location Address City Name:
ALLISON PARK
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15101-1443
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-492-7546
Provider Business Practice Location Address Fax Number:
412-492-7548
Provider Enumeration Date:
02/06/2008