Provider First Line Business Practice Location Address:
3RD FLOOR MAIN HOSPITAL BLDG
Provider Second Line Business Practice Location Address:
CHILDREN'S HOSPITAL DRIVE, 45TH AND PENN
Provider Business Practice Location Address City Name:
PITTSBURGH
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15201
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-692-5387
Provider Business Practice Location Address Fax Number:
412-692-7946
Provider Enumeration Date:
11/12/2008