Whalio Doctors

NPI 1053399253

Susquehanna Valley Pain Management PC

Organisation Interventional Pain Medicine Physician Harrisburg, PA

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
Allopathic & Osteopathic Physicians Taxonomy 208VP0014X
Anesthesiology Physician
Allopathic & Osteopathic Physicians Taxonomy 207L00000X
Physical Medicine & Rehabilitation Physician
Allopathic & Osteopathic Physicians Taxonomy 208100000X

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.