Provider First Line Business Practice Location Address: 
5200 CENTRE AVE
    Provider Second Line Business Practice Location Address: 
SUITE 409
    Provider Business Practice Location Address City Name: 
PITTSBURGH
    Provider Business Practice Location Address State Name: 
PA
    Provider Business Practice Location Address Postal Code: 
15232-1300
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
412-621-2334
    Provider Business Practice Location Address Fax Number: 
    Provider Enumeration Date: 
04/25/2006