Advanced Pain Medicine Moon

LBN: Advanced Pain Medicine Pc
Advanced Pain Medicine Moon is an health care organization with primary practice located at 1009 Beaver Grade Rd Ste 100, Moon Twp PA 15108-2969. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Advanced Pain Medicine Pc can be contacted via phone (724) 933-0300, or through Lodico, Mark via phone (724) 933-0300.

Contact Information

Primary practice address
1009 Beaver Grade Rd Ste 100 Moon Twp PA 15108-2969
Phone: (724) 933-0300
Fax: (724) 933-0456
Website:
Map and Directions
Authorized official contact:
Name: Lodico, Mark
Phone: (724) 933-0300

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1619233079
LBN Legal business name Advanced Pain Medicine Pc
DBA Doing business as Advanced Pain Medicine Moon
Authorized official Lodico, Mark
Entity Organization
Organization subpart 1 No
Enumeration date Apr 10th, 2012
Last updated Aug 24th, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619233079 NPPES
Pennsylvania MEDICAID 0077653000002

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