Provider First Line Business Practice Location Address:
3719 TERRACE STREET
Provider Second Line Business Practice Location Address:
UNIVERSITY OF PITTSBURGH FITZGERALD FIELDHOUSE OFFICE G
Provider Business Practice Location Address City Name:
PITTSBURGH
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15213
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-648-7999
Provider Business Practice Location Address Fax Number:
412-648-9177
Provider Enumeration Date:
04/04/2007