Provider First Line Business Practice Location Address: 
600 GRANT ST FL 37
    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: 
15219-6609
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
412-454-5479
    Provider Business Practice Location Address Fax Number: 
724-847-3967
    Provider Enumeration Date: 
07/07/2005