Provider First Line Business Practice Location Address:
339 OLD HAYMAKER ROAD SUITE 201
Provider Second Line Business Practice Location Address:
PARKWAY BUILDING
Provider Business Practice Location Address City Name:
MONROEVILLE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15146
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-372-2770
Provider Business Practice Location Address Fax Number:
412-372-3314
Provider Enumeration Date:
10/28/2006