Organization
CENTER FOR INTERVENTIONAL PAIN SPINE LLC
Active
Parent organization
CENTER FOR INTERVENTIONAL PAIN SPINE LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTER FOR INTERVENTIONAL PAIN SPINE LLC
Authorized official
STEFANIE PAULUS (ADMINISTRATOR)
(443) 657-2468
Entity
Organization
Contact information
Practice address
2701 BLAIR MILL RD STE 35, WILLOW GROVE, PA 19090-1041
(443) 657-2468
(215) 706-4191
Mailing address
223 WILMINGTON W CHESTER PIKE STE 214, CHADDS FORD, PA 19317-9007
(844) 365-7246
(610) 361-7956
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/02/2016
Last updated
11/30/2020
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