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Pam Physician Enterprise

Physical Medicine & Rehabilitation in Milford, DE. Organization (NPI-2).

NPI number1104712959
StatusActive
Last updated in NPPESJun 17, 2025

Details

NPI
1104712959
Entity type
Organization (NPI-2)
Legal business name
Pam Physician Enterprise
Organization subpart
No
Enumeration date
Jun 17, 2025
Certification date
Jun 17, 2025
Last updated
Jun 17, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208100000X Physical Medicine & Rehabilitation––Yes

Practice location

202 Healthy Way
Milford, DE 19963-8700

Phone 717-317-9303

Mailing address

Po Box 206478
Dallas, TX 75320-6478

Authorized official

Anthony Misitano
President
7177319660

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