Provider First Line Business Practice Location Address:
131-U UNIVERSITY DRIVE C
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:
15240
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-360-6262
Provider Business Practice Location Address Fax Number:
412-360-6159
Provider Enumeration Date:
10/03/2006