Provider First Line Business Practice Location Address:
1322 OAKDENE 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:
15206-1950
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-527-7604
Provider Business Practice Location Address Fax Number:
412-527-7604
Provider Enumeration Date:
01/06/2026