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Organization
THREE RIVERS PAIN MANAGEMENT ASSOCIATES PLLC
Active
Organization
THREE RIVERS PAIN MANAGEMENT ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUDHAKAR B. MANNAM (OWNER)
(724) 812-5580
Entity
Organization
Contact information
Practice address
20826 ROUTE 19, CRANBERRY TWP, PA 16066-6028
(866) 216-7982
(724) 812-5682
Mailing address
736 W INGOMAR RD UNIT 116, INGOMAR, PA 15127-6604
(201) 804-2800
(201) 804-8883
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
NULL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
08/09/2022
Last updated
08/10/2022
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