Provider First Line Business Practice Location Address:
500 HOSPITAL WAY
Provider Second Line Business Practice Location Address:
THIRD FLOOR, PAINTER BLDG. SUITE 8
Provider Business Practice Location Address City Name:
MCKEESPORT
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15132
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-664-3392
Provider Business Practice Location Address Fax Number:
412-664-3393
Provider Enumeration Date:
08/05/2008