# GLTR, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bergen Pain Management of Union
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043633381
- **Authorized official:** DR. THOMAS P RAGUKONIS M.D. (AUTHORIZED REPRESENTATIVE)
- **Authorized official phone:** (201) 986-1003

## Contact information

- **Practice address:** 2333 MORRIS AVE, SUITE A107, UNION, NJ 07083-5714
- **Practice address phone:** (201) 634-9000
- **Mailing address:** 2333 MORRIS AVE, SUITE A107, UNION, NJ 07083-5714

## Taxonomy

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

## Other

- **Enumeration date:** 01/22/2014
- **Last updated:** 01/22/2014
