Organization
SOUTH PHILADELPHIA PAIN MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MINDY GUSS (BILLING)
(215) 750-9600
Entity
Organization
Contact information
Practice address
1732 S BROAD ST, PHILADELPHIA, PA 19145-2321
(215) 755-7595
(215) 755-7608
Mailing address
PO BOX 1006, BENSALEM, PA 19020-5006
(215) 755-7595
(215) 755-7608
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
05/22/2007
Last updated
05/08/2009
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