Organization
PAIN MANAGEMENT OF WILLIAMSPORT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AYAZ M KHAN (M.D.)
(570) 323-3106
Entity
Organization
Contact information
Practice address
553 E 3RD ST, WILLIAMSPORT, PA 17701-5316
(570) 323-3106
(570) 323-3606
Mailing address
553 E 3RD ST, WILLIAMSPORT, PA 17701-5316
(570) 323-3106
(570) 323-3606
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
MD435280
PA
Other
Enumeration date
07/05/2012
Last updated
07/05/2012
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