Provider First Line Business Practice Location Address:
3433 BATES ST
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:
15213-3900
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-206-1171
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/14/2026