Organization
ADVANCED PAINCARE PC
Active
Other names
Patriot Pain Management PC
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN LOUISE SANTO MD (PRESIDENT ADVANCED PAINCARE)
(717) 791-2860
Entity
Organization
Contact information
Practice address
97 N 36TH ST, CAMP HILL, PA 17011-2762
(717) 791-2860
Mailing address
18 STONE SPRING LANE, CAMP HILL, PA 17011
(717) 791-2860
(717) 703-0015
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
MD035037E
PA
207L00000X
Anesthesiology Physician
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
MD035037E
PA
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
MD035037E
PA
208VP0014X
Interventional Pain Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
605369
MEDICARE
PA
01
—
7581000001
MEDICARE NSC
PA
Enumeration date
08/16/2005
Last updated
06/28/2022
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