Organization
KEYSTONE PAIN AND REHABILITATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASIT P UPADHYAY D.O. (PRESIDENT)
(717) 718-9459
Entity
Organization
Contact information
Practice address
1 LEMOYNE SQ, SUITE 100, LEMOYNE, PA 17043-1230
(717) 718-9459
(717) 718-9760
Mailing address
1600 6TH AVE, SUITE 110, YORK, PA 17403-2626
(717) 718-9459
(717) 718-9760
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
OS-007929L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001396610 0003
—
PA
05
—
444680
—
PA
Enumeration date
11/02/2016
Last updated
11/15/2016
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