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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