Wisteria Pain and Spine LLC
NPI #1538941117 in Wyncote, Pennsylvania
Provider Information
- NPI Number
- 1538941117
- Entity Type
- Organization
- Organization Name
- Wisteria Pain and Spine LLC
- Primary Specialty
- Physical Medicine & Rehabilitation
- Enumeration Date
- Oct 18, 2023
- Last Updated
- Jul 3, 2025
Practice Location
- Address
- 2401 W CHELTENHAM AVE STE 312
- City
- Wyncote
- State
- Pennsylvania
- ZIP Code
- 19095-2946
- Phone
- (445) 300-7313
Authorized Official
- Name
- DR. CHRISTIAN ACHARTE, MD
- Title
- PRESIDENT
- Phone
- (215) 722-9074
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Medicine & Rehabilitation |
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