Organization
THE READING NECK AND SPINE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN P BANCO M.D. (PRESIDENT)
(610) 372-1140
Entity
Organization
Contact information
Practice address
1270 BROADCASTING RD, WYOMISSING, PA 19610-3203
(610) 372-1140
Mailing address
1270 BROADCASTING RD, WYOMISSING, PA 19610-3203
(610) 372-1140
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
MD065781L
PA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
PT002688E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02660500
CAPITAL BLUE CROSS
PA
01
—
744633
HIGHMARK BLUE SHIELD
PA
01
—
DA6715
RAILROAD MEDICARE
PA
Enumeration date
09/26/2005
Last updated
02/21/2008
Update your record
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