Provider First Line Business Practice Location Address:
523 WASHINGTON AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BRIDGEVILLE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15017-2043
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-221-2788
Provider Business Practice Location Address Fax Number:
412-221-2119
Provider Enumeration Date:
01/30/2007