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Organization

TRI STATE SPINE AND PAIN PROFESSIONAL CORPORATION

Active
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Organization

TRI STATE SPINE AND PAIN PROFESSIONAL CORPORATION

Active
Other names
TRI STATE SPINE AND PAIN PROFESSIONAL CORPORATION
Organization subpart
No

Provider details

NPI number
Authorized official
MIKHAIL ARTAMONOV MD (CEO)
(570) 972-6778
Entity
Organization

Contact information

Practice address
596 ANDERSON AVE STE 216, CLIFFSIDE PARK, NJ 07010-1856
(551) 277-2071
(561) 529-5144
Mailing address
596 ANDERSON AVE STE 216, CLIFFSIDE PARK, NJ 07010-1856
(551) 277-2071
(561) 529-5144

Taxonomy

Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
NULL
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—

Other

Enumeration date
03/28/2022
Last updated
03/28/2022
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