Organization
MEDICAL HEALING CENTER FOR PAIN
Active
Other names
MHCP
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNIN DION LEWIS DO (CEO)
(856) 537-6427
Entity
Organization
Contact information
Practice address
204 GROVE AVE STE C, WEST DEPTFORD, NJ 08086-2557
(856) 537-6427
(856) 384-2726
Mailing address
204 GROVE AVE STE C, WEST DEPTFORD, NJ 08086-2557
(856) 537-6427
(856) 384-2726
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
25MB09229100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0646466
—
NJ
Enumeration date
04/24/2017
Last updated
06/11/2019
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