Spinal Care Pain Associates, P.C.
Pain Medicine, Interventional Pain Medicine in Philadelphia, PA. Organization (NPI-2).
NPI number1245306489
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1245306489
- Entity type
- Organization (NPI-2)
- Legal business name
- Spinal Care Pain Associates, P.C.
- Organization subpart
- No
- Enumeration date
- Nov 28, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208VP0014X | Pain Medicine, Interventional Pain Medicine | – | – | Yes |
Practice location
2410 S Broad St3rd Floor
Philadelphia, PA 19145-4418
Phone 215-462-6600 · Fax 215-462-2650
Mailing address
2410 S Broad St3rd Floor
Philadelphia, PA 19145-4418
Phone 215-462-6600 · Fax 215-462-2650
Authorized official
Glenn Miller
Medical Director
2154626600
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