Provider First Line Business Practice Location Address:
436 S 27TH 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:
15203-2365
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-246-2407
Provider Business Practice Location Address Fax Number:
412-422-0105
Provider Enumeration Date:
07/23/2008