Provider First Line Business Practice Location Address: 
9805 MCKNIGHT RD
    Provider Second Line Business Practice Location Address: 
T-1218
    Provider Business Practice Location Address City Name: 
PITTSBURGH
    Provider Business Practice Location Address State Name: 
PA
    Provider Business Practice Location Address Postal Code: 
15237-6008
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
412-369-9446
    Provider Business Practice Location Address Fax Number: 
412-369-9446
    Provider Enumeration Date: 
06/20/2011