NPI 1053399253
Susquehanna Valley Pain Management PC
Practice location
- Address
- 825 Sir Thomas CT Suite B, Harrisburg, PA 17109
- Phone
- (717) 652-8670
- Fax
- (717) 901-5009
Authorised official
- Name
- Malik N Momin
- Title
- President
- Phone
- (717) 652-8670
Registered specialties (3)
Interventional Pain Medicine Physician
Primary
Anesthesiology Physician
Physical Medicine & Rehabilitation Physician
Registry record
- NPI
- 1053399253
- Entity type
- Organization
- NPI issued
- 6 Jan 2006
- Record last updated
- 6 Jan 2010
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.