Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

South Philadelphia Pain Management

Organization General Practice Physician · NPI 1790994838

South Philadelphia Pain Management is a General Practice Physician in Philadelphia, Pennsylvania. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

1732 S Broad St
Philadelphia, PA 19145-2321
Phone: (215) 755-7595
Fax: (215) 755-7608
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1790994838
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mindy Guss — Billing · (215) 750-9600
NPI enumeratedMay 22, 2007
Last updated in NPPESMay 8, 2009
Mailing addressPo Box 1006, Bensalem, PA 19020-5006

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