Provider First Line Business Practice Location Address:
1312 E CARSON 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:
15203-1510
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-431-9180
Provider Business Practice Location Address Fax Number:
412-381-6922
Provider Enumeration Date:
03/02/2007