Provider First Line Business Practice Location Address:
AMBASSADOR BLDG.
Provider Second Line Business Practice Location Address:
1409 DUNCAN AVE.
Provider Business Practice Location Address City Name:
PITTSBURGH
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15237
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-366-6061
Provider Business Practice Location Address Fax Number:
412-366-4664
Provider Enumeration Date:
07/15/2005