Organization
CUMBERLAND VALLEY PAIN MANAGEMENT, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TED DANIEL KOSENSKE MD (PRESIDENT)
(717) 249-9222
Entity
Organization
Contact information
Practice address
5 TYLER CT, SUITE B, CARLISLE, PA 17013-7671
(717) 249-9222
(717) 249-5345
Mailing address
5 TYLER CT, SUITE B, CARLISLE, PA 17013-7671
(717) 249-9222
(717) 249-5345
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
MD043353L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012887110006
—
PA
Enumeration date
05/30/2007
Last updated
11/09/2007
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