Provider First Line Business Practice Location Address: 
1050 BOWER HILL RD STE 301
    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: 
15243-1869
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
412-531-7330
    Provider Business Practice Location Address Fax Number: 
412-531-7006
    Provider Enumeration Date: 
11/15/2006