# PAIN CONTROL PC

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

## Provider details

- **NPI number:** 1083861264
- **Authorized official:** DR. ILYA AVERBUCH (PRESIDENT / CEO)
- **Authorized official phone:** (215) 953-9595

## Contact information

- **Practice address:** 2 PARK LN, SUITE 102, FEASTERVILLE TREVOSE, PA 19053-6004
- **Practice address phone:** (215) 240-1225
- **Mailing address:** 667 HENDRIX ST, BOX 11535, PHILADELPHIA, PA 19116-2031
- **Mailing address phone:** (215) 953-9595

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | 25MA04914900 | NJ | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | MD032400E | PA | Yes |

## Other

- **Enumeration date:** 08/19/2008
- **Last updated:** 08/19/2008