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Organization
PAIN CONTROL PC
Active
Organization
PAIN CONTROL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ILYA AVERBUCH (PRESIDENT / CEO)
(215) 953-9595
Entity
Organization
Contact information
Practice address
2 PARK LN, SUITE 102, FEASTERVILLE TREVOSE, PA 19053-6004
(215) 240-1225
Mailing address
667 HENDRIX ST, BOX 11535, PHILADELPHIA, PA 19116-2031
(215) 953-9595
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
25MA04914900
NJ
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
MD032400E
PA
Other
Enumeration date
08/19/2008
Last updated
08/19/2008
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