Provider First Line Business Practice Location Address:
6001 UNIVERSITY BLVD
Provider Second Line Business Practice Location Address:
NICHOLSON CENTER
Provider Business Practice Location Address City Name:
MOON TOWNSHIP
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15108-2574
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-397-3821
Provider Business Practice Location Address Fax Number:
412-397-3236
Provider Enumeration Date:
01/16/2006