# PAIN MODULATION ASSOCIATES PLLC

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

## Provider details

- **NPI number:** 1033650056
- **Authorized official:** KENNETH BRANTON M.D. (PRESIDENT)
- **Authorized official phone:** (781) 710-8440

## Contact information

- **Practice address:** 480 MAPLE ST, PAIN MANAGEMENT CENTER, DANVERS, MA 01923-4065
- **Practice address phone:** (978) 304-8601
- **Practice address fax:** (978) 304-8621
- **Mailing address:** 44 CASTLE VIEW DR, GLOUCESTER, MA 01930-1519
- **Mailing address phone:** (781) 710-8440

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | 151081 | MA | Yes |

## Other

- **Enumeration date:** 03/09/2017
- **Last updated:** 03/09/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3157113 | — | MA |