# JEFFERSON PAIN & REHABILITATION CENTER

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

## Provider details

- **NPI number:** 1386727931
- **Authorized official:** DR. JOHN KEUN-SANG LEE MD (MEDICAL DIRECTOR PRESIDENT)
- **Authorized official phone:** (412) 885-5400

## Contact information

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

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | — |
| 208VP0000X | Pain Medicine Physician | — | NULL | Yes |
| 208VP0000X | Pain Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/24/2006
- **Last updated:** 09/11/2025