# PAIN MANAGEMENT AND WELLNESS OF PALISADES

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

## Provider details

- **NPI number:** 1245593193
- **Authorized official:** DR. JEFFREY GUDIN M.D. (DIRECTOR)
- **Authorized official phone:** (201) 569-7246

## Contact information

- **Practice address:** 350 ENGLE ST, EHMC PAIN MANAGEMENT, ENGLEWOOD, NJ 07631-1808
- **Practice address phone:** (201) 894-3595
- **Practice address fax:** (201) 894-9046
- **Mailing address:** PO BOX 9044, BARDONIA, NY 10954-9044
- **Mailing address phone:** (201) 569-7246
- **Mailing address fax:** (201) 894-9046

## Taxonomy

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

## Other

- **Enumeration date:** 06/15/2012
- **Last updated:** 06/15/2012