Greater Philadelphia Spine And Pain, PC
Pain Medicine, Interventional Pain Medicine in Limerick, PA. Organization (NPI-2).
NPI number1548615768
StatusActive
Last updated in NPPESApr 25, 2016
Details
- NPI
- 1548615768
- Entity type
- Organization (NPI-2)
- Legal business name
- Greater Philadelphia Spine And Pain, PC
- Organization subpart
- No
- Enumeration date
- Apr 25, 2016
- Last updated
- Apr 25, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208VP0014X | Pain Medicine, Interventional Pain Medicine | – | – | Yes |
Practice location
420 W Linfield Trappe RdLimerick, PA 19468-4278
Phone 484-458-1000 · Fax 484-458-1001
Mailing address
700 E Township Line RdFirst Floor
Havertown, PA 19083-5733
Phone 484-458-1000 · Fax 484-458-1001
Authorized official
John Park
Partner
4844581000
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