Provider First Line Business Practice Location Address:
2550 MOSSIDE BLVD
Provider Second Line Business Practice Location Address:
SUITE 212
Provider Business Practice Location Address City Name:
MONROEVILLE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15146-3540
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-334-4000
Provider Business Practice Location Address Fax Number:
412-374-1398
Provider Enumeration Date:
01/11/2011