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NPI Code Detail

MEDICARE: PREMIER SPINE & PAIN MANAGEMENT PC

MEDICARE: PREMIER SPINE & PAIN MANAGEMENT PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208VP0014XInterventional Pain Medicine Physician

General Provider Information

NPI Number : 1528607140
Entity Type Code : Organization
Provider Name (Legal Business Name) : PREMIER SPINE & PAIN MANAGEMENT PC
Provider Business Mailing Address
First Line : 3735 EASTON NAZARETH HWY STE 203
Second Line :
City : EASTON
State : PA
Zip : 18045-8346
Country : US
Telephone Number : 610-438-5071
Fax Number :
Provider Business Practice Location Address
First Line : 3735 EASTON NAZARETH HWY STE 203
Second Line :
City : EASTON
State : PA
Zip : 18045-8346
Country : US
Telephone Number : 610-438-5071
Fax Number :
Authorized Official
Title or Position : CEO
Name : ARUN M KANDRA
Credential : MD
Telephone Number : 610-438-5071
Provider Enumeration Date : 12/30/2019
Last Update Date : 02/12/2026

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Directions to “PREMIER SPINE & PAIN MANAGEMENT PC ” Practice Location

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