Organization
PHILADELPHIA PAIN PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HUAGUANG QU MD (DIRECTOR)
(445) 666-3202
Entity
Organization
Contact information
Practice address
205 N BROAD ST FL 6, PHILADELPHIA, PA 19107-1554
(215) 546-0100
Mailing address
825 SPRING HOUSE FARM LN, AMBLER, PA 19002-2172
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
09/07/2022
Last updated
08/08/2025
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