# INNOVATIVE PAIN MANAGEMENT, LLC

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

## Provider details

- **NPI number:** 1215246459
- **Authorized official:** GARY L YEN MD (OWNER)
- **Authorized official phone:** (732) 495-0777

## Contact information

- **Practice address:** 199 MAIN ST, 2ND FL, KEANSBURG, NJ 07734-1734
- **Practice address phone:** (732) 495-0777
- **Practice address fax:** (732) 495-1009
- **Mailing address:** 199 MAIN ST, 2ND FL, KEANSBURG, NJ 07734-1734
- **Mailing address phone:** (732) 495-0777
- **Mailing address fax:** (732) 495-1009

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NJ | Yes |

## Other

- **Enumeration date:** 10/06/2010
- **Last updated:** 03/08/2012