Provider First Line Business Practice Location Address:
423 FOX CHAPEL RD
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:
15238-2247
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-968-3127
Provider Business Practice Location Address Fax Number:
412-968-3003
Provider Enumeration Date:
10/18/2006