Organization
CONSULTANTS IN PAIN MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINA MARIE DILUZIO (PRACTICE ADMIN)
(814) 459-0585
Entity
Organization
Contact information
Practice address
2409 STATE ST, 2ND FLOOR, ERIE, PA 16503-1856
(814) 459-0585
(814) 455-0239
Mailing address
2409 STATE ST, 2ND FLOOR, ERIE, PA 16503-1856
(814) 459-0585
(814) 455-0239
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
PA
261QM2500X
Medical Specialty Clinic/Center
—
PA
261QP3300X
Pain Clinic/Center
—
PA
Other
Enumeration date
04/03/2014
Last updated
10/29/2015
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