Organization
SPINAL CARE PAIN ASSOCIATES P C
Active
Other names
SPINAL CARE PAIN CRNA
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBORAH WEISS MBA MS (PRACTICE ADMINISTRATOR)
(215) 462-6600
Entity
Organization
Contact information
Practice address
2410 S BROAD ST, 3RD FLR, PHILA, PA 19145-4418
(215) 462-6600
(215) 462-2650
Mailing address
2410 S BROAD ST, 3RD FLR, PHILA, PA 19145-4418
(215) 462-6600
(215) 462-2650
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2133384000
ALL IBC PRODUCTS
PA
Enumeration date
12/20/2006
Last updated
08/22/2020
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