# PENNSYLVANIA SPINE & HEADACHE CENTER, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043517899
- **Authorized official:** BRUCE LEVIN (OWNER)
- **Authorized official phone:** (215) 776-6404

## Contact information

- **Practice address:** 3 N 2ND ST, STE 3, PHILADELPHIA, PA 19106-2208
- **Practice address phone:** (215) 776-6404
- **Mailing address:** 760 W LINCOLN HWY, EXTON, PA 19341-2547
- **Mailing address phone:** (610) 716-1879

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 273Y00000X | Rehabilitation Hospital Unit | MD041591E | PA | Yes |

## Other

- **Enumeration date:** 02/14/2011
- **Last updated:** 04/03/2015
