Organization Name: | PAIN AND SPINE TREATMENT CENTERS |
NPI Number: | 1760899900 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GERALD DWORKIN (PRESIDENT) |
Mailing Address: | 811 Sunset Rd Sunset Rd Burlington |
State: | NJ US |
Postal Code: | 080163645 |
Phone Number: | 8564613226 |
Fax Number: | 6102374138 |
NPI Enumeration Date: | 07/21/2014 |
NPI Last Update Date: | 07/21/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 25MB04709600 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |