Organization · NPI-2
Precision Pain Management Center, P.C.
Physical Medicine & Rehabilitation, Pain Medicine · Willow Grove, PA
NPI number1093870024
StatusActive
Last updated in NPPESJun 14, 2022
Details
- NPI
- 1093870024
- Entity type
- Organization (NPI-2)
- Legal business name
- Precision Pain Management Center, P.C.
- Organization subpart
- No
- Enumeration date
- Dec 27, 2006
- Certification date
- Jun 14, 2022
- Last updated
- Jun 14, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2081P2900X | Physical Medicine & Rehabilitation, Pain Medicine | MD067744 | PA | Yes |
| 111N00000X | Chiropractor | – | PA |
Practice location
2325 Maryland RdSuite 200
Willow Grove, PA 19090-1704
Phone 215-657-9393
Mailing address
600 Louis Dr Ste 202Warminster, PA 18974-2847
Phone 215-957-5400 · Fax 215-957-5401
Authorized official
Brian M Bayzick
Coo
2156579393
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