SUSQUEHANNA VALLEY PAIN MANAGEMENT PC NPI 1053399253

NPI Information

SUSQUEHANNA VALLEY PAIN MANAGEMENT PC is an interventional pain medicine pain medicine in Harrisburg, PA. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. SUSQUEHANNA VALLEY PAIN MANAGEMENT PC NPI is 1053399253. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

825 SIR THOMAS CT
SUITE B
HARRISBURG, PA
ZIP 17109
Phone: (717) 652-8670
Fax: (717) 901-5009

The provider's authorized official is Malik N Momin .
The authorized official title is President and has the following contact phone number (717) 652-8670.

The enumeration date for this NPI number is 1/6/2006 and was last updated on 1/6/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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