Provider First Line Business Practice Location Address: 
5247 BROWNSVILLE 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: 
15236-2756
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
412-943-1300
    Provider Business Practice Location Address Fax Number: 
412-943-1311
    Provider Enumeration Date: 
06/13/2006