Provider First Line Business Practice Location Address:
2140 ARDMORE BLVD
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:
15221-4860
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-351-9190
Provider Business Practice Location Address Fax Number:
412-351-3586
Provider Enumeration Date:
07/05/2006