# JEFFERSON PAIN AND REHAB CENTER

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

## Provider details

- **NPI number:** 1376526780
- **Authorized official:** JOHN KEUN-SANG LEE MD (MEDICAL DIR JEFFERSON PAIN & REHAB)
- **Authorized official phone:** (412) 885-5400

## Contact information

- **Practice address:** 4735 CLAIRTON BLVD, PITTSBURGH, PA 15236-2115
- **Practice address phone:** (412) 885-5400
- **Practice address fax:** (412) 885-1773
- **Mailing address:** 4735 CLAIRTON BLVD, PITTSBURGH, PA 15236-2115
- **Mailing address phone:** (412) 885-5400
- **Mailing address fax:** (412) 885-1773

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | MD037447Y | PA | Yes |

## Other

- **Enumeration date:** 11/21/2005
- **Last updated:** 08/22/2020