Provider First Line Business Practice Location Address: 
500 WASHINGTON RD
    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: 
15228-2817
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
412-344-7223
    Provider Business Practice Location Address Fax Number: 
412-563-2105
    Provider Enumeration Date: 
08/30/2006