Provider First Line Business Practice Location Address:
1017 PERRY HWY STE 101
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:
15237-2173
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-369-8866
Provider Business Practice Location Address Fax Number:
412-366-4568
Provider Enumeration Date:
03/09/2007