Organization
PAIN AND SPINE TREATMENT CENTERS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERALD E. DWORKIN D.O. (PRESIDENT)
(610) 237-5006
Entity
Organization
Contact information
Practice address
811 SUNSET RD, BURLINGTON, NJ 08016
(610) 237-5006
(610) 237-4138
Mailing address
1503 LANSDOWNE AVE, STE 2001, DARBY, PA 19023
(610) 237-5006
(610) 237-4138
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
25MB04709600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
114936W05
PTAN
NJ
05
—
2182408
—
NJ
Enumeration date
06/13/2007
Last updated
10/03/2014
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