Healthcare Provider Details

I. General information

NPI: 1205880002
Provider Name (Legal Business Name): 3B PAIN MANAGEMENT CENTER PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2006
Last Update Date: 06/09/2020
Certification Date: 06/09/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 LOUIS DRIVE SUITE 202
WARMINSTER PA
18974
US

IV. Provider business mailing address

600 LOUIS DRIVE SUITE 202
WARMINSTER PA
18974
US

V. Phone/Fax

Practice location:
  • Phone: 215-957-5400
  • Fax: 215-957-5401
Mailing address:
  • Phone: 215-957-5400
  • Fax: 215-957-5401

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License NumberMD067744L
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC8629
License Number StatePA

VIII. Authorized Official

Name: DR. BRIAN EPSTEIN
Title or Position: CEO
Credential:
Phone: 215-957-5400