Provider First Line Business Practice Location Address:
4401 PENN AVE
Provider Second Line Business Practice Location Address:
CHILDREN'S HOSPITAL PITTSBURGH 4TH FLOOR FACULTY PAV
Provider Business Practice Location Address City Name:
PITTSBURGH
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15224-1334
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-692-8142
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/23/2005