Organization
CHESTER PAIN MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JARRED TELLER DC (OWNER)
(215) 478-6159
Entity
Organization
Contact information
Practice address
4610 PENNELL ROAD, ASTON, PA 19014
(610) 497-3722
(267) 212-0020
Mailing address
PO BOX 749, BENSALEM, PA 19020
(215) 478-6159
(267) 212-0020
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
09/18/2009
Last updated
09/18/2009
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