# GERMANTOWN PAIN MANAGEMENT

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

## Provider details

- **NPI number:** 1538360334
- **Authorized official:** KELLY J BOYLE MA (MEDICAL ASSISTANT)
- **Authorized official phone:** (215) 750-9600

## Contact information

- **Practice address:** 5537 GERMANTOWN AVE, PHILADELPHIA, PA 19144-2225
- **Practice address phone:** (215) 848-3708
- **Practice address fax:** (215) 848-3216
- **Mailing address:** 5537 GERMANTOWN AVE, PHILADELPHIA, PA 19144-2225
- **Mailing address phone:** (215) 848-3708
- **Mailing address fax:** (215) 848-3216

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/30/2007
- **Last updated:** 05/08/2009