Organization
PAIN INSTITUTE OF CENTRAL PA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALI YOUSUFUDDIN MD (PHYSICIAN)
(717) 218-8800
Entity
Organization
Contact information
Practice address
69 ST PAUL DR STE B, CHAMBERSBURG, PA 17201-1020
(717) 218-8800
(717) 552-2196
Mailing address
69 ST PAUL DR STE B, CHAMBERSBURG, PA 17201-1020
(717) 218-8800
(717) 552-2196
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
MD422419
PA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
MD422419
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100816820
—
PA
01
—
1083607840
ALI TYPE 1 NPI
—
01
—
MD422419
PA LICENSE
PA
Enumeration date
05/16/2011
Last updated
02/19/2021
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