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Organization

PEDIATRIC PAIN CARE LLC

Active
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Organization

PEDIATRIC PAIN CARE LLC

Active
Other names
Center for Pediatric & Adolescent Pain Care
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL JOSEPH M.D. (PRESIDENT)
(614) 747-3394
Entity
Organization

Contact information

Practice address
5060 BRADENTON AVE, SUITE B, DUBLIN, OH 43017-3511
(614) 889-6422
(614) 453-8863
Mailing address
3982 POWELL RD, STE 271, POWELL, OH 43065-7662
(614) 889-6422
(614) 453-8863

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
208VP0000X
Pain Medicine Physician

Other

Enumeration date
12/21/2009
Last updated
06/15/2010
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