Provider First Line Business Practice Location Address:
4725 MCKNIGHT RD
Provider Second Line Business Practice Location Address:
SU 206 NORTHLAND MEDICAL BUILDING
Provider Business Practice Location Address City Name:
PITTSBURGH
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15237-3414
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-364-1701
Provider Business Practice Location Address Fax Number:
412-364-1734
Provider Enumeration Date:
08/20/2006