Provider First Line Business Practice Location Address:
2106 MONONGAHELA AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SWISSVALE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15218-2512
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-271-5191
Provider Business Practice Location Address Fax Number:
412-271-5082
Provider Enumeration Date:
06/01/2006