Provider First Line Business Practice Location Address: 
255 SOUTH NEGLEY AVENUE
    Provider Second Line Business Practice Location Address: 
WATSON INSTITUTE
    Provider Business Practice Location Address City Name: 
PITTSBURGH
    Provider Business Practice Location Address State Name: 
PA
    Provider Business Practice Location Address Postal Code: 
15206
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
412-749-2880
    Provider Business Practice Location Address Fax Number: 
412-741-9021
    Provider Enumeration Date: 
07/28/2011