Organization
GERMANTOWN PAIN MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY J BOYLE MA (MEDICAL ASSISTANT)
(215) 750-9600
Entity
Organization
Contact information
Practice address
5537 GERMANTOWN AVE, PHILADELPHIA, PA 19144-2225
(215) 848-3708
(215) 848-3216
Mailing address
5537 GERMANTOWN AVE, PHILADELPHIA, PA 19144-2225
(215) 848-3708
(215) 848-3216
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
05/30/2007
Last updated
05/08/2009
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