OrganizationActive
East Shore Medical & Pain Management PC
NPI 1265670996 · Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician · Harrisburg, PA
Provider details
- NPI number
- 1265670996
- Entity type
- Organization
- Primary specialty
- Neuromuscular Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Matthew Boland, Owner
- License
- DC003322L (PA)
Practice location
915 N Mountain Rd
Suite C
Harrisburg, PA 17112-1793
Phone: (717) 652-5550
Fax: (717) 652-2488
Mailing address
915 N Mountain Rd
Harrisburg, PA 17112-1793
Registry dates
- Enumerated
- 2009-02-03
- Last updated
- 2010-04-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.