Organization
SPINAL CARE PAIN ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN MILLER M.D. (MEDICAL DIRECTOR)
(215) 462-6600
Entity
Organization
Contact information
Practice address
2410 S BROAD ST, 3RD FLOOR, PHILADELPHIA, PA 19145-4418
(215) 462-6600
(215) 462-2650
Mailing address
2410 S BROAD ST, 3RD FLOOR, PHILADELPHIA, PA 19145-4418
(215) 462-6600
(215) 462-2650
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1413937
ALL BLUE SHIELDS, AMERIHL
PA
01
—
2100648000
KEYSTONE EAST
PA
01
—
22210
HEALTH PARTNERS
PA
01
—
2992866
AETNA
PA
01
—
30001785
KEYSTONE MERCY
PA
01
—
347886100
US DEPT OF LABOR OWCP
PA
01
—
93900
AMERICHOICE OF PENN
PA
Enumeration date
11/28/2006
Last updated
08/22/2020
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