| NPI | 1689704298 |
|---|---|
| Doing Business As | PAIN MANAGEMENT ASSOC. OF FCCC |
| Entity Type | Organization |
| Authorized Contact | MARYBETH JANNOTTI Physician Enrollment Coordinator 215-214-1405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2020-08-22 |