Provider First Line Business Practice Location Address:
3705 5TH AVE
Provider Second Line Business Practice Location Address:
CHILDREN'S HOSP OF PITTSBURGH - DEPT OF PED OTOLARYNGOL
Provider Business Practice Location Address City Name:
PITTSBURGH
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15213-2584
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-692-8577
Provider Business Practice Location Address Fax Number:
412-692-6074
Provider Enumeration Date:
06/04/2007