Organization
JEFFERSON PAIN AND REHAB CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN KEUN-SANG LEE MD (MEDICAL DIR JEFFERSON PAIN & REHAB)
(412) 885-5400
Entity
Organization
Contact information
Practice address
4735 CLAIRTON BLVD, PITTSBURGH, PA 15236-2115
(412) 885-5400
(412) 885-1773
Mailing address
4735 CLAIRTON BLVD, PITTSBURGH, PA 15236-2115
(412) 885-5400
(412) 885-1773
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD037447Y
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0076496
US HEALTH CARE
—
05
—
0911881
—
PA
01
—
109
UPMC FOR YOU
—
01
—
1500227
GATEWAY
—
01
—
26789
HEALTH AMERICA
—
01
—
60216
MED PLUS
—
Enumeration date
11/21/2005
Last updated
08/22/2020
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