Provider Demographics
NPI:1831148410
Name:MID-ATLANTIC PAIN INSTITUTE, P.A.
Entity type:Organization
Organization Name:MID-ATLANTIC PAIN INSTITUTE, P.A.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:FALCO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:302-369-1700
Mailing Address - Street 1:100 BIDDLE AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19702-3981
Mailing Address - Country:US
Mailing Address - Phone:302-369-1700
Mailing Address - Fax:302-369-1122
Practice Address - Street 1:100 BIDDLE AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19702-3981
Practice Address - Country:US
Practice Address - Phone:302-392-6501
Practice Address - Fax:302-392-3380
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-09
Last Update Date:2018-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DEDECF 8249OtherRAILROAD MEDICARE
MDMDCI2358OtherRAILROAD MEIDCARE
MDMDCI2358OtherRAILROAD MEIDCARE
DE4168530002Medicare NSC