Organization
PAIN MANAGEMENT PHYSICIANS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC RATNER (PRESIDENT)
(610) 373-9631
Entity
Organization
Contact information
Practice address
2201 RIDGEWOOD RD, SUITE 200, WYOMISSING, PA 19610-1189
(610) 373-9631
(610) 375-6200
Mailing address
2201 RIDGEWOOD RD, SUITE 200, WYOMISSING, PA 19610-1189
(610) 373-9631
(610) 375-6200
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
MD045589L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2083563
HIGHMARK BLUE SHIELD
PA
01
—
258129
UNISON
PA
01
—
50082873
CAPITAL BLUE CROSS
PA
Enumeration date
12/12/2008
Last updated
12/08/2010
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