Organization
PREMIER PAIN PROFESSIONALS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHOK KUMAR MD (OWNER)
(570) 449-3824
Entity
Organization
Contact information
Practice address
121 PROGRESS AVE STE 120, POTTSVILLE, PA 17901-2968
(570) 622-5616
(570) 622-5618
Mailing address
121 PROGRESS AVE, POTTSVILLE, PA 17901-2968
(570) 622-5616
(570) 622-5618
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102209170
—
PA
Enumeration date
08/27/2008
Last updated
11/30/2023
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