Organization
THE PAIN CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE ROIG M.D. (AUTH REP)
(304) 979-6595
Entity
Organization
Contact information
Practice address
651 COLLIERS WAY STE 510, WEIRTON, WV 26062-5054
(304) 797-6595
(304) 797-6052
Mailing address
109 MOUNT WOOD RD, WHEELING, WV 26003-2632
(304) 797-6595
(304) 797-6052
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CJ0334
RAIL ROAD MEDICARE
WV
Enumeration date
05/23/2006
Last updated
08/26/2011
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