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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
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