Healthcare Provider Details

I. General information

NPI: 1396540266
Provider Name (Legal Business Name): CELLARA PAIN INSTITUTE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/15/2025
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

310 MIDDLETOWN BLVD STE 200
LANGHORNE PA
19047-3203
US

IV. Provider business mailing address

100 NORTHAMPTON ST
EASTON PA
18042-3611
US

V. Phone/Fax

Practice location:
  • Phone: 267-500-9595
  • Fax: 208-261-4661
Mailing address:
  • Phone: 267-500-9595
  • Fax: 208-261-4661

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number
License Number State

VIII. Authorized Official

Name: MOHAMED OSMAN
Title or Position: OWNER
Credential: MD
Phone: 732-543-6829