Healthcare Provider Details

I. General information

NPI: 1902140577
Provider Name (Legal Business Name): OXFORD VALLEY PAIN AND SURGICAL CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/20/2012
Last Update Date: 11/20/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

310 MIDDLETOWN BLVD SUITE 200
LANGHORNE PA
19047
US

IV. Provider business mailing address

310 MIDDLETOWN BLVD SUITE 200
LANGHORNE PA
19047
US

V. Phone/Fax

Practice location:
  • Phone: 215-741-4410
  • Fax: 215-741-4470
Mailing address:
  • Phone: 215-741-4410
  • Fax: 215-741-4470

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP3300X
TaxonomyPain Clinic/Center
License NumberMD431889
License Number StatePA

VIII. Authorized Official

Name: DR. SUNJAY M. MADNANI
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: M.D.
Phone: 215-741-4410