Organization
HARRISBURG INTERVENTIONAL PAIN MGMT CTR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MALIK N MOMIN MD (MEDICAL DOCTOR)
(717) 901-5008
Entity
Organization
Contact information
Practice address
825 SIR THOMAS COURT, SUITE A, HARRISBURG, PA 17109
(717) 901-5008
(717) 920-3261
Mailing address
825 SIR THOMAS COURT, SUITE A, HARRISBURG, PA 17109
(717) 901-5008
(717) 920-3261
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1014258780001
—
PA
Enumeration date
03/25/2006
Last updated
08/22/2020
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