Provider First Line Business Practice Location Address:
1 CHILDRENS HOSPITAL DR
Provider Second Line Business Practice Location Address:
4401 PENN AVENUE
Provider Business Practice Location Address City Name:
PITTSBURGH
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15224-1529
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-692-5661
Provider Business Practice Location Address Fax Number:
412-692-6645
Provider Enumeration Date:
10/18/2005