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Organization
WEST PHILADELPHIA PAIN MANAGEMENT CENTER
Active
Organization
WEST PHILADELPHIA PAIN MANAGEMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON KRISTOFF (OFFICE MANAGER)
(215) 957-5400
Entity
Organization
Contact information
Practice address
5429 CHESTNUT ST STE G19, PHILADELPHIA, PA 19139-3325
(215) 796-9003
(215) 596-0654
Mailing address
600 LOUIS DR STE 202, WARMINSTER, PA 18974-2847
(215) 957-5400
(215) 957-5401
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC004566L
PA
208100000X
Physical Medicine & Rehabilitation Physician
MD067744L
PA
Other
Enumeration date
11/13/2017
Last updated
06/09/2022
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