# WEINERMAN PAIN & WELLNESS

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

## Provider details

- **NPI number:** 1639421266
- **Authorized official:** MISS ASHLEY MESSING (REVENUE CYCLE MANAGER)
- **Authorized official phone:** (215) 988-9503

## Contact information

- **Practice address:** 1617 JOHN F KENNEDY BLVD STE 1100, PHILADELPHIA, PA 19103-1826
- **Practice address phone:** (215) 988-9503
- **Practice address fax:** (215) 988-9533
- **Mailing address:** 1617 JOHN F KENNEDY BLVD STE 1100, PHILADELPHIA, PA 19103-1826
- **Mailing address phone:** (215) 988-9533
- **Mailing address fax:** (215) 988-9533

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | DC005975L | PA | — |
| 208D00000X | General Practice Physician | OS004236L | PA | Yes |

## Other

- **Enumeration date:** 10/05/2012
- **Last updated:** 07/12/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1639421266 | — | PA |