Organization
WEST SHORE PAIN AND SPINE INSTITUTE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MALIK MOMIN M.D. (MEDICAL DIRECTOR)
(717) 901-5008
Entity
Organization
Contact information
Practice address
5124 E TRINDLE RD, MECHANICSBURG, PA 17050-3688
(717) 652-8670
(717) 920-3261
Mailing address
825 SIR THOMAS CT, HARRISBURG, PA 17109-4839
(717) 901-5008
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
08/05/2016
Last updated
08/05/2016
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