# GREATER PHILADELPHIA PAIN MANAGEMENT CENTER PC

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

## Provider details

- **NPI number:** 1588974588
- **Authorized official:** BRIAN M BAYZICK (COO)
- **Authorized official phone:** (215) 957-5400

## Contact information

- **Practice address:** 2612 RHAWN STREET, PHILADELPHIA, PA 19152
- **Practice address phone:** (215) 338-8555
- **Practice address fax:** (215) 957-5401
- **Mailing address:** 600 LOUIS DRIVE SUITE 202, GREATER PHILADELPHIA PAIN MANAGEMENT CENTER PC, WARMINSTER, PA 18974
- **Mailing address phone:** (215) 957-5400
- **Mailing address fax:** (215) 957-5401

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | MD425455 | PA | Yes |

## Other

- **Enumeration date:** 10/12/2010
- **Last updated:** 06/10/2022