OrganizationActive
Commonwealth Pain and Wellness Center LLC
NPI 1164047718 · Interventional Pain Medicine Physician · Edwardsville, PA
Provider details
- NPI number
- 1164047718
- Entity type
- Organization
- Primary specialty
- Interventional Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Fred Usoh, Physician Owner
Practice location
468 Northampton St
Edwardsville, PA 18704-4566
Phone: (917) 495-6239
Mailing address
468 Northampton St
Edwardsville, PA 18704-4566
Registry dates
- Enumerated
- 2020-06-10
- Last updated
- 2025-12-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.