# MEDICAL PAIN MANAGEMENT PC

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

## Provider details

- **NPI number:** 1639596794
- **Authorized official:** MICHAEL SHAFT (OFFICE MANAGER)
- **Authorized official phone:** (717) 652-5550

## Contact information

- **Practice address:** 915 N MOUNTAIN RD, SUITE C, HARRISBURG, PA 17112-1793
- **Practice address phone:** (717) 652-5550
- **Practice address fax:** (717) 652-2488
- **Mailing address:** 915 N MOUNTAIN RD, SUITE C, HARRISBURG, PA 17112-1793
- **Mailing address phone:** (717) 652-5550
- **Mailing address fax:** (717) 652-2488

## Taxonomy

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

## Other

- **Enumeration date:** 03/26/2014
- **Last updated:** 03/26/2014