# SMR PAIN MANAGEMENT

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

## Provider details

- **NPI number:** 1649766742
- **Authorized official:** RONALD LINCOW DO (OWNER)
- **Authorized official phone:** (215) 338-1811

## Contact information

- **Practice address:** 2201 RIDGEWOOD RD STE 200, WYOMISSING, PA 19610-1196
- **Practice address phone:** (610) 375-6226
- **Practice address fax:** (484) 509-2933
- **Mailing address:** 1705 SOMERSET ST, DRESHER, PA 19025-1312
- **Mailing address phone:** (215) 338-1811
- **Mailing address fax:** (215) 338-3606

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | Yes |
| 208VP0000X | Pain Medicine Physician | — | NULL | — |
| 208VP0000X | Pain Medicine Physician | — | — | — |
| 208VP0014X | Interventional Pain Medicine Physician | — | NULL | — |
| 208VP0014X | Interventional Pain Medicine Physician | — | — | — |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |

## Other

- **Enumeration date:** 07/02/2018
- **Last updated:** 08/29/2025
