Provider First Line Business Practice Location Address: 
120 5TH AVE
    Provider Second Line Business Practice Location Address: 
SUITE 305
    Provider Business Practice Location Address City Name: 
PITTSBURGH
    Provider Business Practice Location Address State Name: 
PA
    Provider Business Practice Location Address Postal Code: 
15222-3099
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
412-544-5600
    Provider Business Practice Location Address Fax Number: 
412-544-5647
    Provider Enumeration Date: 
11/04/2009