Provider First Line Business Practice Location Address:
520 PENN AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WILKINSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15221-2117
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-336-2002
Provider Business Practice Location Address Fax Number:
412-693-9787
Provider Enumeration Date:
10/22/2015