Organization
CENTER FOR INTERVENTIONAL PAIN SPINE LLC
Active
Parent organization
CENTER FOR INTERVENTIONAL PAIN SPINE LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTER FOR INTERVENTIONAL PAIN SPINE LLC
Authorized official
MS. STEFANIE PAULUS (BUSINESS MANAGER)
(302) 477-1706
Entity
Organization
Contact information
Practice address
931 E HAVERFORD RD STE 202, BRYN MAWR, PA 19010-3838
(844) 365-7246
(610) 525-8201
Mailing address
223 WILMINGTON W CHESTER PIKE STE 214, CHADDS FORD, PA 19317-9007
(844) 365-7246
(103) 617-9566
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/15/2016
Last updated
11/30/2020
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