Provider First Line Business Practice Location Address:
2585 WASHINGTON ROAD
Provider Second Line Business Practice Location Address:
SUITE 110
Provider Business Practice Location Address City Name:
UPPER ST. CLAIR
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:
412-854-4492
Provider Business Practice Location Address Fax Number:
412-854-0913
Provider Enumeration Date:
08/11/2006