Provider First Line Business Practice Location Address:
90 CLAIRTON BLVD
Provider Second Line Business Practice Location Address:
SUITE C LOWER LEVEL
Provider Business Practice Location Address City Name:
PITTSBURGH
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15236-3917
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-480-0293
Provider Business Practice Location Address Fax Number:
412-466-0345
Provider Enumeration Date:
08/04/2006