# BRANDYWINE VALLEY PAIN CONTROL CENTER, INC.

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

## Provider details

- **NPI number:** 1972613859
- **Authorized official:** WINIFRED C MEALL (BUSINESS MANAGER)
- **Authorized official phone:** (610) 280-0360

## Contact information

- **Practice address:** 460 CREAMERY WAY, SUITE 102, EXTON, PA 19341-2533
- **Practice address phone:** (610) 280-0340
- **Practice address fax:** (610) 280-0750
- **Mailing address:** 460 CREAMERY WAY, SUITE 102, EXTON, PA 19341-2533
- **Mailing address phone:** (610) 280-0340
- **Mailing address fax:** (610) 280-0750

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/30/2006
- **Last updated:** 08/27/2007