Healthcare Provider Details

I. General information

NPI: 1306751375
Provider Name (Legal Business Name): SUSSEX PAIN SURGERY CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/15/2026
Last Update Date: 08/15/2026
Certification Date: 08/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17637 SHADY RD STE 105
LEWES DE
19958-6248
US

IV. Provider business mailing address

18229 DUPONT BLVD
GEORGETOWN DE
19947-3127
US

V. Phone/Fax

Practice location:
  • Phone: 302-313-1725
  • Fax: 302-220-3636
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. MANONMANI ANTONY
Title or Position: OWNER
Credential: MD
Phone: 302-519-0100