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Contact Information

NEUROSURGERY & PAIN REHABILITATION CENTER
100 EAGLESMERE CIR
200A
EAST STROUDSBURG, PA18301-3144
 Phone: 570-421-8772
 Fax: 570-421-8775
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Neurological Surgery

207T00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for NEUROSURGERY & PAIN REHABILITATION CENTER

NPI # 1992980791
LBN Legal business name NEUROSURGERY & PAIN REHABILITATION CENTER
Authorized official RODRIGO ESTONILO - (DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 12/31/2007
Last updated 03/26/2008 - About 18 years ago
Identifiers
PA License # MD042667L
PA Medicaid 1020667750001
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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