Provider First Line Business Practice Location Address:
2720 SHADY 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:
15217-2462
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-297-1514
Provider Business Practice Location Address Fax Number:
412-945-5810
Provider Enumeration Date:
07/14/2009