Provider First Line Business Practice Location Address:
110 FORT COUCH ROAD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PITTSBURGH
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15241
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-833-4222
Provider Business Practice Location Address Fax Number:
412-833-5332
Provider Enumeration Date:
11/29/2006