Susquehanna Valley Pain Management PC

NPI #1053399253 in Harrisburg, Pennsylvania

Provider Information

NPI Number: 1053399253
Entity Type: Organization
Organization Name: Susquehanna Valley Pain Management PC
Primary Specialty: Pain Medicine - Interventional Pain Medicine
Enumeration Date: Jan 6, 2006
Last Updated: Jan 6, 2010

Practice Location

Address: 825 SIR THOMAS CT
Address 2: SUITE B
City: Harrisburg
State: Pennsylvania
ZIP Code: 17109
Phone: (717) 652-8670

Authorized Official

Name: MALIK N MOMIN
Title: PRESIDENT
Phone: (717) 652-8670

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X
Physical Medicine & Rehabilitation	208100000X
Pain Medicine - Interventional Pain Medicine — Interventional Pain Medicine	208VP0014X	Primary

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