Provider First Line Business Practice Location Address:
9104 BABCOCK BLVD, SUITE 3112
Provider Second Line Business Practice Location Address:
UPMC PASSAVANT PROF. BLDG
Provider Business Practice Location Address City Name:
PITTSBURGH
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15237
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-366-3889
Provider Business Practice Location Address Fax Number:
412-364-6160
Provider Enumeration Date:
04/27/2009