Organization
PAIN MANAGEMENT CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASHRAF RAZZAK M.D. (PROPRIETOR)
(724) 657-9262
Entity
Organization
Contact information
Practice address
401 N JEFFERSON ST, NEW CASTLE, PA 16101-2238
(724) 657-9262
(724) 657-9261
Mailing address
PO BOX 8157, NEW CASTLE, PA 16107-8157
(724) 657-9262
(724) 657-9261
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD064551L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016966900048
—
PA
Enumeration date
12/01/2010
Last updated
12/01/2010
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