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NPI Code Detail

MEDICARE: DYNAMIC INJURY SOLUTIONS, LLC

MEDICARE: DYNAMIC INJURY SOLUTIONS, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12081N0008XNeuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
2261QM1300XMulti-Specialty Clinic/Center

General Provider Information

NPI Number : 1841027711
Entity Type Code : Organization
Provider Name (Legal Business Name) : DYNAMIC INJURY SOLUTIONS, LLC
Provider Business Mailing Address
First Line : 10 SYCAMORE CT
Second Line :
City : MEDIA
State : PA
Zip : 19063-2048
Country : US
Telephone Number : 215-432-4488
Fax Number :
Provider Business Practice Location Address
First Line : 333 W MOUNT PLEASANT AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19119-2904
Country : US
Telephone Number : 215-432-4488
Fax Number :
Authorized Official
Title or Position : GENERAL COUNSEL
Name : SIDNEY ZILBER
Credential :
Telephone Number : 610-202-0105
Provider Enumeration Date : 09/16/2024
Last Update Date : 09/16/2024

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Directions to “DYNAMIC INJURY SOLUTIONS, LLC ” Practice Location

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