Provider First Line Business Practice Location Address:
490 E NORTH AVENUE
Provider Second Line Business Practice Location Address:
ALLEGHENY PROFESSIONAL BLDG STE 106
Provider Business Practice Location Address City Name:
PITTSBURGH
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15212
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-322-1994
Provider Business Practice Location Address Fax Number:
412-322-1060
Provider Enumeration Date:
03/22/2006