Organization
INTERVENTIONAL PAIN CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRAVINKUMAR P PATEL M.D. (PRESIDENT)
(570) 216-5475
Entity
Organization
Contact information
Practice address
5195 SEVEN BRIDGE ROAD, EAST STROUDSBERG, PA 18301-3006
(570) 216-5475
(570) 216-5476
Mailing address
5195 SEVEN BRIDGE ROAD, EAST STROUDSBERG, PA 18301-3006
(570) 216-5475
(570) 216-5476
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD037051L
PA
Other
Enumeration date
08/28/2014
Last updated
10/16/2014
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