Provider First Line Business Practice Location Address:
325 S BIRMINGHAM AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
AVALON
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15202-2407
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-761-6739
Provider Business Practice Location Address Fax Number:
412-761-7339
Provider Enumeration Date:
09/20/2006