Provider First Line Business Practice Location Address:
1450 INGHAM ST
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:
15212-2874
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-322-0140
Provider Business Practice Location Address Fax Number:
412-321-4626
Provider Enumeration Date:
06/03/2009