Organization · NPI-2
Atlantic Health Care PLLC
Pain Medicine, Interventional Pain Medicine · Willow Grove, PA
NPI number1720425929
StatusActive
Last updated in NPPESMay 29, 2013
Details
- NPI
- 1720425929
- Entity type
- Organization (NPI-2)
- Legal business name
- Atlantic Health Care PLLC
- Organization subpart
- No
- Enumeration date
- May 29, 2013
- Last updated
- May 29, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208VP0014X | Pain Medicine, Interventional Pain Medicine | MD422681 | PA | Yes |
| 207L00000X | Anesthesiology | MD422681 | PA | |
| 207RE0101X | Internal Medicine, Endocrinology, Diabetes & Metabolism | MD442471 | PA |
Practice location
359 York RdStore Front
Willow Grove, PA 19090-2621
Phone 215-366-7141 · Fax 215-933-3120
Mailing address
359 York RdStore Front
Willow Grove, PA 19090-2621
Phone 215-366-7141 · Fax 215-933-3120
Authorized official
Amanda L Ricca
Manager
2156518180
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