Comprehensive Pain Management Specialists , LLC

Pain Medicine, Interventional Pain Medicine in Wilkes Barre, PA. Organization (NPI-2).

NPI number1841591211

StatusActive

Last updated in NPPESJul 2, 2025

Details

NPI: 1841591211
Entity type: Organization (NPI-2)
Legal business name: Comprehensive Pain Management Specialists , LLC
Organization subpart: No
Enumeration date: Nov 16, 2010
Certification date: Jul 2, 2025
Last updated: Jul 2, 2025

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
208VP0014X	Pain Medicine, Interventional Pain Medicine	–	–	Yes

Practice location

1177 Highway 315 Blvd
Dolphin Plaza
Wilkes Barre, PA 18702-6928

Phone 570-270-5700 · Fax 570-270-5719

Mailing address

1177 Highway 315 Blvd
Dolphin Plaza
Wilkes Barre, PA 18702-6928

Phone 570-270-5713 · Fax 570-270-5719

Authorized official

Amanda Ricca
Ceo
5702705713

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