Registry details
Type
Individual
Primary specialty
Family Medicine
Enumerated
Jun 14, 2009
License(s)
A113902 (CA), MD0472577 (PA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 5608 WILKINS AVE STE 100 | Pittsburgh, PA 15217-1282 | 412-422-8762 |
| MAILING | 20630 ROUTE 19 UNIT 101 | Cranberry Township, PA 16066-6021 | 724-779-2273 |
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