Organization
PAIN TREATMENT & REHABILITATION CENTER,PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENIFER LUCEY (BILLING REPRESENTATIVE)
(302) 283-3300
Entity
Organization
Contact information
Practice address
71 OMEGA DR, BUILDING D, NEWARK, DE 19713-2063
(302) 283-3300
(302) 283-3321
Mailing address
D71 OMEGA DRIVE, NEWARK, DE 19713
(302) 283-3300
(302) 283-3321
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
054476609
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000023982
—
DE
Enumeration date
04/19/2006
Last updated
09/03/2008
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