Organization
SE PAIN MANAGEMENT, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE PASSALACQUA (PRACTICE ADMINISTRATOR)
(855) 235-7246
Entity
Organization
Contact information
Practice address
508 PRUDENTIAL RD STE 500, HORSHAM, PA 19044-2309
(215) 277-5888
(215) 884-1066
Mailing address
508 PRUDENTIAL RD STE 500, HORSHAM, PA 19044-2368
(215) 277-5888
(215) 884-1066
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1673069
—
PA
Enumeration date
06/01/2005
Last updated
05/12/2026
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