Provider First Line Business Practice Location Address:
129 28TH ST
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:
15222-4797
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-281-3955
Provider Business Practice Location Address Fax Number:
412-281-4880
Provider Enumeration Date:
08/19/2024