Provider Demographics
NPI:1306938832
Name:ABINGTON PAIN MEDICINE, P.C.
Entity type:Organization
Organization Name:ABINGTON PAIN MEDICINE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:BAILEY
Authorized Official - Last Name:ALPERT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:215-517-5050
Mailing Address - Street 1:801 OLD YORK RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:JENKINTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19046-1611
Mailing Address - Country:US
Mailing Address - Phone:215-517-5050
Mailing Address - Fax:215-517-4105
Practice Address - Street 1:801 OLD YORK RD
Practice Address - Street 2:SUITE 201
Practice Address - City:JENKINTOWN
Practice Address - State:PA
Practice Address - Zip Code:19046-1611
Practice Address - Country:US
Practice Address - Phone:215-517-5050
Practice Address - Fax:215-517-4105
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-29
Last Update Date:2009-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD036640E2081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1241144OtherUNITED HEALTHCARE
PAMD036640EOtherMEDICAL LICENSE
P3064939OtherOXFORD
PA4294105OtherAETNA
PAMD036640EOtherMEDICAL LICENSE
1241144OtherUNITED HEALTHCARE
135820Medicare ID - Type Unspecified