Provider Demographics
NPI:1902088842
Name:OXFORD VALLEY PAIN AND SPINE CENTER, INC.
Entity Type:Organization
Organization Name:OXFORD VALLEY PAIN AND SPINE CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SANJAY
Authorized Official - Middle Name:
Authorized Official - Last Name:MADNANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:601-325-3749
Mailing Address - Street 1:370 MIDDLETOWN BLVD
Mailing Address - Street 2:SUITE 508
Mailing Address - City:LANGHORNE
Mailing Address - State:PA
Mailing Address - Zip Code:19047-1840
Mailing Address - Country:US
Mailing Address - Phone:601-325-3749
Mailing Address - Fax:
Practice Address - Street 1:370 MIDDLETOWN BLVD
Practice Address - Street 2:SUITE 508
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047-1840
Practice Address - Country:US
Practice Address - Phone:601-325-3749
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-03
Last Update Date:2007-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD431889208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MSG40122Medicare UPIN