Provider First Line Business Practice Location Address:
4701 BAPTIST RD
Provider Second Line Business Practice Location Address:
SUITE 208A
Provider Business Practice Location Address City Name:
PITTSBURGH
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15227-1117
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-882-9929
Provider Business Practice Location Address Fax Number:
412-882-9949
Provider Enumeration Date:
08/15/2006