| NPI | 1922617125 | 
|---|---|
| Doing Business As | MEDICAL PRACTICE | 
| Other Name | PAIN MANAGEMENT SPECIALISTS | 
| Entity Type | Organization | 
| Authorized Contact | AKINTOMI A. OLUGBODI Member 610-568-5078  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine | 
| Enumeration Date | 2020-07-24 | 
| Last Update Date | 2021-02-01 |