Organization
NEUROLOGY AND PAIN MANAGEMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FUHAI LI M.D. (PRESIDENT)
(570) 296-8494
Entity
Organization
Contact information
Practice address
104 BENNETT AVE, SUITE 1B, MILFORD, PA 18337-9759
(570) 296-8494
(570) 296-8493
Mailing address
104 BENNETT AVE, SUITE 1B, MILFORD, PA 18337-9759
(570) 296-8494
(570) 296-8493
Taxonomy
Speciality
Code
Description
License number
State
2084D0003X
Diagnostic Neuroimaging (Psychiatry & Neurology) Physician
MD428963
PA
2084N0400X
Neurology Physician
Primary
MD428963
PA
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
MD428963
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1016960930002
—
PA
Enumeration date
08/09/2010
Last updated
08/09/2010
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