First State Spine And Pain Treatment Centers
Physical Medicine & Rehabilitation in Wilmington, DE. Organization (NPI-2).
NPI number1174875587
StatusActive
Last updated in NPPESSep 23, 2013
Details
- NPI
- 1174875587
- Entity type
- Organization (NPI-2)
- Legal business name
- First State Spine And Pain Treatment Centers
- Organization subpart
- No
- Enumeration date
- Oct 9, 2012
- Last updated
- Sep 23, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | – | – | Yes |
Practice location
1600 Pennsylvania AveSuite 204
Wilmington, DE 19806-4047
Phone 302-439-3063 · Fax 302-439-3372
Mailing address
1600 Pennsylvania AveSuite 204
Wilmington, DE 19806-4047
Phone 302-439-3063 · Fax 302-439-3372
Authorized official
Edward C White
Owner
3024393063
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