Organization
SB PAIN MANAGEMENT ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIE HENNIGAR (OFFICE MANAGER)
(215) 947-7992
Entity
Organization
Contact information
Practice address
1800 BYBERRY RD, SUITE 1101, HUNTINGDON VALLEY, PA 19006-3518
(215) 947-7992
(215) 947-7969
Mailing address
1800 BYBERRY RD, SUITE 1101, HUNTINGDON VALLEY, PA 19006-3518
(215) 947-7992
(215) 947-7969
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2024283000
IBC
PA
01
—
2658825
AETNA
PA
Enumeration date
05/27/2006
Last updated
08/22/2020
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