Organization
ANESTHESIA 24/7, PC
Active
Other names
Columbia Pain Management
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOIN UDDIN MALLHI M.D. (OWNER)
(570) 752-6441
Entity
Organization
Contact information
Practice address
1200 FREAS AVE, BERWICK, PA 18603-1612
(570) 752-6441
(570) 752-6442
Mailing address
1200 FREAS AVE, BERWICK, PA 18603-1612
(570) 752-6441
(570) 752-6442
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD055799L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019733140001
—
PA
01
—
1541784
HIGHMARK BS
PA
01
—
1621I
GEISINGER HEALTH PLAN
PA
01
—
50020367
CAPITAL BC
PA
Enumeration date
02/17/2006
Last updated
09/09/2015
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