Provider First Line Business Practice Location Address:
1417 WIGHTMAN ST
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:
15217-1240
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-421-0310
Provider Business Practice Location Address Fax Number:
412-421-0312
Provider Enumeration Date:
02/22/2007