# KCS INTEGRATED PAIN MANAGEMENT LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003218785
- **Authorized official:** DR. PETER JASSAL MD (OWNER)
- **Authorized official phone:** (516) 987-8918

## Contact information

- **Practice address:** 210 CATTAIL LN, MULLICA HILL, NJ 08062-1891
- **Practice address phone:** (516) 987-8918
- **Mailing address:** 210 CATTAIL LN, MULLICA HILL, NJ 08062-1891
- **Mailing address phone:** (516) 987-8918

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | 25MA09213400 | NJ | Yes |

## Other

- **Enumeration date:** 09/24/2014
- **Last updated:** 09/24/2014