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General NPI Number Information
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NPI Number | 1356228977
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Entity Type | Organization
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Legal Business Name | THE CENTER FOR REGENERATIVE MEDICINE AND PAIN MANAGEMENT
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Dates
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Enumeration Date | 08/18/2025
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Last Update Date | 08/18/2025
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Provider Practice Location Address
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Address Line | 937 E HAVERFORD RD STE 103
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City | BRYN MAWR
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State | PA
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Zip | 19010-3800
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Country | US
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Telephone | 610-729-6067
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 58
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City | QUAKERTOWN
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State | PA
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Zip | 18951-0058
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. JAMIL BASHIR
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Credential | MD
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Telephone | 443-676-0116
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number |
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License Number State |
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