uslocalmedical.com Nj Pain Management Rehab Pa, , ELIZABETH NJ 72010 New Jersey http://www.uslocalmedical.com/providers/nj-pain-management-rehab-pa/npi-1548505019.html Nj pain management rehab pa. Health provider information including phone, fax, npi, map, locations of nj pain management rehab pa. en Mon, 10 Dec 2012 00:00:00 -0500 Mon, 10 Dec 2012 00:00:00 -0500 Nj Pain Management Rehab Pa http://www.uslocalmedical.com/providers/nj-pain-management-rehab-pa/npi-1548505019.html http://www.uslocalmedical.com/providers/nj-pain-management-rehab-pa/npi-1548505019.html

Nj Pain Management Rehab Pa

NPI Provider: 1548505019 - Today: Wed, 31 Dec 1969.

Health Provider Information

Nj Pain Management Rehab Pa organization have npi 1548505019, taxonomy code is 207LP2900X with license number is 25MA08695400 in . This Business address located in PO BOX 9040, ELIZABETH, NJ 72010 New Jersey.

Authorized Official

Name: PORETSKAYA LYUDMILA

Position: PRESIDENT

Phone: (908) 662-2222

Practice Location

Address: 645 ELIZABETH AVE, ELIZABETH, NJ 72061

Phone: (908) 662-2222

Business Location

Address: PO BOX 9040, ELIZABETH, NJ 72010

Taxonomy

Taxonomy Code: 207LP2900X

License Number: 25MA08695400

License Number of State: NJ

Primary Taxonomy Switch: Y

Enumeration Date: 12/10/2012

Last Update: Mon, 10 Dec 2012

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