Organization
MID-ATLANTIC PAIN INSTITUTE, P.A.
Active
Organization
MID-ATLANTIC PAIN INSTITUTE, P.A.
Active
Other names
Mid Atlantic Spine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANK JOHN FALCO MD (MEDICAL DIRECTOR)
(302) 369-1700
Entity
Organization
Contact information
Practice address
1806 N VAN BUREN ST, SUITE 110, WILMINGTON, DE 19802-3851
(302) 472-0163
(302) 472-0164
Mailing address
139 E CHESTNUT HILL RD, NEWARK, DE 19713-4043
(302) 369-1700
(302) 369-1717
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
C10004539
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001097202
—
DE
01
—
CF8249
RAILROAD MEDICARE
DE
Enumeration date
12/20/2006
Last updated
05/15/2009
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