Organization
TERMINAL SQUARE PAIN CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MINDY GUSS (COLLECTIONS)
(215) 750-9600
Entity
Organization
Contact information
Practice address
7016 TERMINAL SQ, SUITE 10A, UPPER DARBY, PA 19082-2310
(610) 352-1710
Mailing address
7016 TERMINAL SQ, SUITE 10A, UPPER DARBY, PA 19082-2310
(610) 352-1710
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
05/31/2007
Last updated
05/08/2009
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