Organization
SEPA LAB - BRISTOL
Active
Parent organization
S.E. PA PAIN MANAGEMENT LTD
Organization subpart
Yes
Provider details
NPI number
Legal business name
S.E. PA PAIN MANAGEMENT LTD
Authorized official
PATRICK C FALL DO (PRESIDENT)
(855) 235-7246
Entity
Organization
Contact information
Practice address
200 RITTENHOUSE CIRCLE, STE 1A EAST, BRISTOL, PA 19007-1619
(855) 235-7246
Mailing address
721 DRESHER RD STE 2500, HORSHAM, PA 19044-2218
(855) 235-7246
(215) 702-7075
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
Other
Enumeration date
10/21/2019
Last updated
11/27/2023
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