Provider First Line Business Practice Location Address:
5730 ELLSWORTH AVE
Provider Second Line Business Practice Location Address:
SUITE 3
Provider Business Practice Location Address City Name:
PITTSBURGH
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15232-1795
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-404-2077
Provider Business Practice Location Address Fax Number:
412-404-7633
Provider Enumeration Date:
04/23/2012