# FIRST STATE SPINE AND PAIN TREATMENT CENTERS

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

## Provider details

- **NPI number:** 1174875587
- **Authorized official:** DR. EDWARD C WHITE (OWNER)
- **Authorized official phone:** (302) 439-3063

## Contact information

- **Practice address:** 1600 PENNSYLVANIA AVE, SUITE 204, WILMINGTON, DE 19806-4047
- **Practice address phone:** (302) 439-3063
- **Practice address fax:** (302) 439-3372
- **Mailing address:** 1600 PENNSYLVANIA AVE, SUITE 204, WILMINGTON, DE 19806-4047
- **Mailing address phone:** (302) 439-3063
- **Mailing address fax:** (302) 439-3372

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/09/2012
- **Last updated:** 09/23/2013
