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MID-ATLANTIC PAIN INSTITUTE P.A. NPI 1104980770


NPI Information

NPI: 1104980770
Provider Name: MID-ATLANTIC PAIN INSTITUTE, P.A.

Doing Business As: MID ATLANTIC SPINE

Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

Address:
1806 N VAN BUREN ST
SUITE 110
WILMINGTON, DE
ZIP 19802
Phone: (302) 472-0163
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MID-ATLANTIC PAIN INSTITUTE, P.A. is an interventional pain medicine pain medicine in Wilmington, DE. 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. MID-ATLANTIC PAIN INSTITUTE, P.A. NPI is 1104980770. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Mid Atlantic Spine.

The provider's business location address is:

1806 N VAN BUREN ST
SUITE 110
WILMINGTON, DE
ZIP 19802-851
Phone: (302) 472-0163
Fax: (302) 472-0164

The provider's authorized official is Frank John Falco .
The authorized official title is Medical Director and has the following contact phone number (302) 369-1700.

The enumeration date for this NPI number is 12/20/2006 and was last updated on 5/15/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208VP0014XPain MedicineInterventional Pain MedicineC10004539DELAWAREYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G00428MEDICARE PINDELAWARE
2CF8249OTHERDELAWARERAILROAD MEDICARE
3001097202MEDICAIDDELAWARE
44168530003MEDICARE NSCDELAWARE

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: 11/14/2023

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