Provider First Line Business Practice Location Address: 
UPMC CHILDRENS SPECIALIST- NEUROLOGY
    Provider Second Line Business Practice Location Address: 
3 WALNUT STREET, SUITE 205
    Provider Business Practice Location Address City Name: 
LEMOYNE
    Provider Business Practice Location Address State Name: 
PA
    Provider Business Practice Location Address Postal Code: 
17043-1168
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
717-988-0090
    Provider Business Practice Location Address Fax Number: 
717-221-5320
    Provider Enumeration Date: 
06/25/2011