Provider First Line Business Practice Location Address:
209 PLYMOUTH ST
Provider Second Line Business Practice Location Address:
UPMC PASSAVANT HOSPITAL
Provider Business Practice Location Address City Name:
PITTSBURGH
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15211-1233
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
413-262-5269
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/22/2017