Organization Name: | AMBULATORY PAIN MANAGEMENT, LLC |
NPI Number: | 1184681983 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAWN M SPENCER (ADMINISTRATOR) |
Mailing Address: | 1450 Route 22 Mountainside |
State: | NJ US |
Postal Code: | 070922619 |
Phone Number: | 9082332020 |
Fax Number: | 9082339322 |
NPI Enumeration Date: | 04/27/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP3300X |
License Number: | 22987 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Pain |
Taxonomy Definition: |