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Organization
ADVANCED ORTHO & PAIN CENTER INC
Active
Organization
ADVANCED ORTHO & PAIN CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MERWIN FRANCIS RICHARD MD, FACC (OWNER)
(914) 310-3101
Entity
Organization
Contact information
Practice address
550 NEWARK AVE STE 304, JERSEY CITY, NJ 07306-1356
(201) 624-2111
(201) 795-0148
Mailing address
550 NEWARK AVE STE 304, JERSEY CITY, NJ 07306-1356
(201) 624-2111
(201) 795-0148
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
208VP0000X
Pain Medicine Physician
—
—
225100000X
Physical Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MA07291400
STATE LICENSE
NJ
Enumeration date
05/16/2022
Last updated
10/31/2022
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