Provider First Line Business Practice Location Address:
552 N NEVILLE ST
Provider Second Line Business Practice Location Address:
SUITE C
Provider Business Practice Location Address City Name:
PITTSBURGH
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15213-2855
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-681-9577
Provider Business Practice Location Address Fax Number:
412-621-9923
Provider Enumeration Date:
09/30/2006