Fw Interventional Pain Management LLC

NPI #1124459276 in Fort Wayne, Indiana

Provider Information

NPI Number: 1124459276
Entity Type: Organization
Organization Name: Fw Interventional Pain Management LLC
Primary Specialty: Anesthesiology
Enumeration Date: Nov 27, 2013
Last Updated: Feb 18, 2014

Practice Location

Address: 2510 E DUPONT RD
Address 2: SUITE 115
City: Fort Wayne
State: Indiana
ZIP Code: 46825-1600
Phone: (260) 672-8979

Authorized Official

Name: DR. MICHAEL COZZI, MD
Title: SOLE MEMBER
Phone: (260) 672-8979

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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