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Organization

PAIN MANAGEMENT OF BERKS COUNTY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PATRICK BORJA D.C. (OWNER)
(610) 779-4588
Entity
Organization

Contact information

Practice address
3933 PERKIOMEN AVE, SUITE E1, READING, PA 19606-2756
(610) 779-9292
(610) 779-3937
Mailing address
3933 PERKIOMEN AVE, SUITE E1, READING, PA 19606-2756
(610) 779-9292
(610) 779-3937

Taxonomy

Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
MD057525-L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AK001180
STATE LICENSE
PA
01
MSG001153
STATE LICENSE
PA
01
MSG001568
STATE LICENSE
PA
01
MSG004016
STATE LICENSE
PA
01
MSG00541
STATE LICENSE
PA
Enumeration date
09/14/2016
Last updated
09/14/2016
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