Organization
PENNSYLVANIA SPINE & HEADACHE CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE LEVIN (OWNER)
(215) 776-6404
Entity
Organization
Contact information
Practice address
3 N 2ND ST, STE 3, PHILADELPHIA, PA 19106-2208
(215) 776-6404
Mailing address
760 W LINCOLN HWY, EXTON, PA 19341-2547
(610) 716-1879
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
MD041591E
PA
Other
Enumeration date
02/14/2011
Last updated
04/03/2015
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