Provider First Line Business Practice Location Address:
5230 CENTRE AVENUE
Provider Second Line Business Practice Location Address:
UPMC SHADYSIDE
Provider Business Practice Location Address City Name:
PITTSBURGH
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15232
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
330-841-9647
Provider Business Practice Location Address Fax Number:
330-841-9645
Provider Enumeration Date:
03/24/2021