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Organization
GLTR, LLC
Active
Organization
GLTR, LLC
Active
Other names
Bergen Pain Management of Union
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS P RAGUKONIS M.D. (AUTHORIZED REPRESENTATIVE)
(201) 986-1003
Entity
Organization
Contact information
Practice address
2333 MORRIS AVE, SUITE A107, UNION, NJ 07083-5714
(201) 634-9000
Mailing address
2333 MORRIS AVE, SUITE A107, UNION, NJ 07083-5714
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
NULL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
01/22/2014
Last updated
01/22/2014
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