# PENNSYLVANIA PAIN MANAGEMENT, INC.

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

## Provider details

- **NPI number:** 1215986880
- **Authorized official:** DR. KENNETH J CHOQUETTE D.O. (OWNER/DIRECTOR)
- **Authorized official phone:** (610) 439-1662

## Contact information

- **Practice address:** 1251 S CEDAR CREST BLVD, SUITE 203, ALLENTOWN, PA 18103-6205
- **Practice address phone:** (610) 439-1662
- **Practice address fax:** (610) 439-8397
- **Mailing address:** 1251 S CEDAR CREST BLVD, SUITE 203, ALLENTOWN, PA 18103-6205
- **Mailing address phone:** (610) 439-1662
- **Mailing address fax:** (610) 439-8397

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208VP0000X | Pain Medicine Physician | — | NULL | Yes |
| 208VP0000X | Pain Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/09/2006
- **Last updated:** 10/03/2007