Registry details
Type
Individual
Primary specialty
Dermatology
Enumerated
Sep 30, 2007
License(s)
35099853 (OH), 35099853 (OH)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 5001 CENTRE AVE FL 3 | Pittsburgh, PA 15213-1807 | |
| LOCATION | 5001 CENTRE AVE FL 3 | Pittsburgh, PA 15213-1807 | 800-845-3573 |
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