Healthcare Provider Details

I. General information

NPI: 1457745846
Provider Name (Legal Business Name): BUCKS COUNTY PAIN AND PERIOPERATIVE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/24/2015
Last Update Date: 08/17/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 BATH RD SUITE 201
BRISTOL PA
19007-3101
US

IV. Provider business mailing address

501 BATH RD SUITE 201
BRISTOL PA
19007-3101
US

V. Phone/Fax

Practice location:
  • Phone: 215-310-8087
  • Fax: 215-940-9690
Mailing address:
  • Phone: 215-310-8087
  • Fax: 215-940-9690

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number StatePA

VIII. Authorized Official

Name: NEIL ANAND
Title or Position: OWNING PARTER
Credential: MD
Phone: 215-310-8087