Organization
FIRST STATE SPINE AND PAIN TREATMENT CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD C WHITE (OWNER)
(302) 439-3063
Entity
Organization
Contact information
Practice address
1600 PENNSYLVANIA AVE, SUITE 204, WILMINGTON, DE 19806-4047
(302) 439-3063
(302) 439-3372
Mailing address
1600 PENNSYLVANIA AVE, SUITE 204, WILMINGTON, DE 19806-4047
(302) 439-3063
(302) 439-3372
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740229046
—
DE
Enumeration date
10/09/2012
Last updated
09/23/2013
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