Organization
PAIN CENTER OF WESTERN PENNSYLVANIA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ANN WEINER (MANAGER)
(724) 342-1833
Entity
Organization
Contact information
Practice address
3120 HIGHLAND RD, SUITE 102, HERMITAGE, PA 16148-4512
(724) 342-1833
Mailing address
PO BOX 1032, HERMITAGE, PA 16148-0032
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012389700026
—
PA
Enumeration date
08/04/2006
Last updated
01/29/2012
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