| NPI | 1568720803 |
|---|---|
| Doing Business As | THMA MG INTERVENTIONAL SPINE AND PAIN CENTER |
| Entity Type | Organization |
| Authorized Contact | DANIELLE C CLARKE Regional VP 215-710-6542 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Enumeration Date | 2012-04-24 |
| Last Update Date | 2023-12-13 |