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EASTERN REGIONAL PAIN MANAGEMENT P.C. NPI 1922065986


NPI Information

NPI: 1922065986
Provider Name: EASTERN REGIONAL PAIN MANAGEMENT, P.C.

Former Legal Business Name: THOMAS P COSTELLO DO

Classification: Anesthesiology - 207LP2900X
Entity Type: Organization

Specialization: Pain Medicine

Address:
4979 OLD STREET RD
SUITE 1A
TREVOSE, PA
ZIP 19053
Phone: (215) 953-8882
Get Directions

EASTERN REGIONAL PAIN MANAGEMENT, P.C. is a pain medicine anesthesiology in Trevose, PA. The provider is an anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. EASTERN REGIONAL PAIN MANAGEMENT, P.C. NPI is 1922065986. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Thomas P Costello Do.

The provider's business location address is:

4979 OLD STREET RD
SUITE 1A
TREVOSE, PA
ZIP 19053-222
Phone: (215) 953-8882
Fax: (215) 953-8822

The provider's authorized official is Thomas P Costello .
The authorized official title is President and has the following contact phone number (215) 953-8882.

The enumeration date for this NPI number is 4/26/2006 and was last updated on 2/20/2012.


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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207LP2900XAnesthesiologyPain MedicineMB50806NEW JERSEYNo
2207LP2900XAnesthesiologyPain MedicineOS005840LPENNSYLVANIAYes

Other Identifiers

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

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12006338000OTHERPENNSYLVANIAIBC
2E23610MEDICARE UPIN
3124642MEDICARE PINPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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