NPI 1174988265

Pain Care Management, LLC

Organisation Health Maintenance Organization Philadelphia, PA

Practice location

Address: 520 N Columbus Blvd Suite 202, Philadelphia, PA 19123-4226
Phone: (215) 239-3097
Fax: (215) 239-3098
Mailing address: PO Box 9680, Hamilton, NJ 08650-1680

Authorised official

Name: G Zita
Title: Owner
Phone: (215) 239-3097

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence DC004886L (PA)

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Registry record

NPI: 1174988265
Entity type: Organization
NPI issued: 16 Dec 2015
Record last updated: 16 Dec 2015

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.