Provider First Line Business Practice Location Address: 
2000 CLIFFMINE RD STE 500
    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: 
15275-1053
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
878-201-3312
    Provider Business Practice Location Address Fax Number: 
878-201-3584
    Provider Enumeration Date: 
04/07/2014