Provider First Line Business Practice Location Address:
4724 PLUMMER ST STE C
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:
15201-2917
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-385-5215
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/18/2026