Organization
MAYFAIR PAIN THERAPY CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERALD E DWORKIN D.O (MEDICAL DIRECTOR)
(610) 996-2018
Entity
Organization
Contact information
Practice address
6921 FRANKFORD AVE, PHILADELPHIA, PA 19135-1623
(215) 708-8887
Mailing address
6921 FRANKFORD AVE, PHILADELPHIA, PA 19135-1623
(215) 708-8887
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
OS004891L
PA
Other
Enumeration date
04/03/2017
Last updated
04/03/2017
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