Organization
PAIN CARE CONSULTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE STROUP (BILLING CREDENTIALING ADMINISTRATOR)
(570) 501-6863
Entity
Organization
Contact information
Practice address
50 MOISEY DRIVE, SUITE 204, HARLETON, PA 18202
(570) 501-6860
(570) 501-6869
Mailing address
PO BOX 70, MOUNTAIN TOP, PA 18707
(570) 501-6860
(570) 501-6869
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1792883
—
PA
Enumeration date
05/15/2006
Last updated
05/02/2008
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