# ACCELERATED REHAB & PAIN MANAGEMENT PA

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

## Provider details

- **NPI number:** 1063746527
- **Authorized official:** KATIE BOLEN (MANAGER)
- **Authorized official phone:** (973) 794-4704

## Contact information

- **Practice address:** 1279 ROUTE 46, PARSIPPANY, NJ 07054-4904
- **Practice address phone:** (973) 794-4704
- **Practice address fax:** (973) 794-4707
- **Mailing address:** PO BOX 4405, CLIFTON, NJ 07012-8405
- **Mailing address phone:** (973) 794-4704
- **Mailing address fax:** (973) 794-4707

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0401X | Addiction Medicine (Family Medicine) Physician | 235083 | NY | — |
| 207QA0401X | Addiction Medicine (Family Medicine) Physician | 25MA07658100 | NJ | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | 235083 | NY | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | 25MA07658100 | NJ | — |
| 208VP0000X | Pain Medicine Physician | 235083 | NY | — |
| 208VP0000X | Pain Medicine Physician | 25MA07658100 | NJ | — |
| 208VP0014X | Interventional Pain Medicine Physician | 235083 | NY | — |
| 208VP0014X | Interventional Pain Medicine Physician | 25MA07658100 | NJ | — |

## Other

- **Enumeration date:** 09/30/2009
- **Last updated:** 02/13/2020