Provider Demographics
NPI:1902140577
Name:OXFORD VALLEY PAIN AND SURGICAL CENTER INC
Entity Type:Organization
Organization Name:OXFORD VALLEY PAIN AND SURGICAL CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:SUNJAY
Authorized Official - Middle Name:M
Authorized Official - Last Name:MADNANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:215-741-4410
Mailing Address - Street 1:310 MIDDLETOWN BLVD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:LANGHORNE
Mailing Address - State:PA
Mailing Address - Zip Code:19047
Mailing Address - Country:US
Mailing Address - Phone:215-741-4410
Mailing Address - Fax:215-741-4470
Practice Address - Street 1:310 MIDDLETOWN BLVD
Practice Address - Street 2:SUITE 200
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047
Practice Address - Country:US
Practice Address - Phone:215-741-4410
Practice Address - Fax:215-741-4470
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-20
Last Update Date:2012-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD431889261QP3300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP3300XAmbulatory Health Care FacilitiesClinic/CenterPain