Organization
NEUROLOGY CENTER
Active
Parent organization
NORTHEASTERN REHABILIATION AND PAIN MANAGEMENT CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHEASTERN REHABILIATION AND PAIN MANAGEMENT CENTER
Authorized official
MRS. TRACI L BENJAMIN (OFFICE MANAGER)
(570) 420-0111
Entity
Organization
Contact information
Practice address
232 INDEPENDENCE RD, EAST STROUDSBURG, PA 18301-9447
(570) 420-1955
(570) 424-0707
Mailing address
230 INDEPENDENCE RD, EAST STROUDSBURG, PA 18301-9447
(570) 420-0111
(570) 420-0746
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
047780
—
PA
Enumeration date
10/29/2008
Last updated
10/29/2008
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