# HARRISBURG INTERVENTIONAL PAIN MGMT CTR

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

## Provider details

- **NPI number:** 1215997929
- **Authorized official:** MALIK N MOMIN MD (MEDICAL DOCTOR)
- **Authorized official phone:** (717) 901-5008

## Contact information

- **Practice address:** 825 SIR THOMAS COURT, SUITE A, HARRISBURG, PA 17109
- **Practice address phone:** (717) 901-5008
- **Practice address fax:** (717) 920-3261
- **Mailing address:** 825 SIR THOMAS COURT, SUITE A, HARRISBURG, PA 17109
- **Mailing address phone:** (717) 901-5008
- **Mailing address fax:** (717) 920-3261

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/25/2006
- **Last updated:** 08/22/2020