NPI 1174676811
Pain Management and Rehabilitation, PA
Practice location
- Address
- 240 Beiser Blvd Suite 201b, Dover, DE 19904-7790
- Phone
- (302) 734-7246
- Fax
- (302) 678-8890
- Mailing address
- 71 Hidden Valley Dr, Newark, DE 19711-7463
Authorised official
- Name
- Ganesh R Balu
- Title
- President
- Phone
- (302) 734-7246
Registered specialties
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
Registry record
- NPI
- 1174676811
- Entity type
- Organization
- NPI issued
- 18 Jan 2007
- Record last updated
- 22 Aug 2020
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.