Organization
CENTER FOR INTERVENTIONAL PAIN SPINE LLC
Active
Parent organization
CENTER FOR INTERVENTIONAL PAIN SPINE, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTER FOR INTERVENTIONAL PAIN SPINE, LLC
Authorized official
STEFANIE PAULUS (PRACTICE MANAGER)
(844) 365-7246
Entity
Organization
Contact information
Practice address
360 E PULASKI HWY STE 3B, ELKTON, MD 21921-6596
(844) 365-7246
Mailing address
223 WILMINGTON W CHESTER PIKE STE 214, CHADDS FORD, PA 19317-9007
(844) 365-7246
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/25/2022
Last updated
03/16/2022
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