Organization
MOUNT AIRY PAIN MANAGEMENT CENTER INC.
Active
Other names
Mount airy pain practice
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OBIOMA C. IRO-NWOKEUKWU III MD063864L (PAIN SPECIALIST, ANESTHESIOLOGIST)
(215) 848-1166
Entity
Organization
Contact information
Practice address
6613 CHEW AVE, PHILADELPHIA, PA 19119-2002
(215) 848-1166
(215) 842-0224
Mailing address
6613 CHEW AVE, PHILADELPHIA, PA 19119-2002
(215) 848-1166
(215) 842-0224
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
MD063864L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017587000011
—
PA
Enumeration date
11/16/2007
Last updated
01/21/2016
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