Organization Name: | ADVANCED OSTEOPATHIC PAIN MANAGEMENT |
NPI Number: | 1821395823 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ALEXANDER WOJNO-ORANSKI (CFO) |
Mailing Address: | 901 N Wood Ave Linden |
State: | NJ US |
Postal Code: | 070364039 |
Phone Number: | 9084749444 |
Fax Number: | 9086203744 |
NPI Enumeration Date: | 02/28/2011 |
NPI Last Update Date: | 02/28/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 25MB06375220 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |