Organization
HILLSIDE PAIN MANAGEMENT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY BETH CALDER (PRACTICE ADMINISTRATOR)
(717) 632-5478
Entity
Organization
Contact information
Practice address
250 FAME AVE, SUITE 101, HANOVER, PA 17331-1587
(717) 632-5478
(717) 633-0267
Mailing address
250 FAME AVE, SUITE 101, HANOVER, PA 17331-1587
(717) 632-5478
(717) 633-0267
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013738150001
—
PA
Enumeration date
04/17/2006
Last updated
03/04/2013
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