Provider First Line Business Practice Location Address:
3505 TERRACE STREET
Provider Second Line Business Practice Location Address:
SUITE 3189 SALK HALL
Provider Business Practice Location Address City Name:
PITTSBURGH
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15213-2523
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-383-7483
Provider Business Practice Location Address Fax Number:
412-383-7862
Provider Enumeration Date:
12/14/2005