Provider First Line Business Practice Location Address:
122 EMERSON AVE
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:
15215-3208
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-782-3510
Provider Business Practice Location Address Fax Number:
412-782-6860
Provider Enumeration Date:
06/20/2006