Organization
GROSSINGER NEUROPAIN SPECIALISTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BLANCHE DONATO (OFFICE MANAGER)
(610) 521-6063
Entity
Organization
Contact information
Practice address
1510 CHESTER PIKE, SUITE 130, EDDYSTONE, PA 19022-1375
(610) 521-6063
(610) 521-0163
Mailing address
1510 CHESTER PIKE, SUITE 130, EDDYSTONE, PA 19022-1375
(610) 521-6063
(610) 521-0163
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
PA
2084N0400X
Neurology Physician
Primary
—
PA
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007731339-0002
—
PA
Enumeration date
07/03/2006
Last updated
05/22/2014
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