# PAIN CARE ASSOCIATES PA

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

## Provider details

- **NPI number:** 1275830580
- **Authorized official:** DR. RAKESH CHANDER GUPTA M.D. (PRESIDENT)
- **Authorized official phone:** (609) 509-1945

## Contact information

- **Practice address:** 120 MADISON AVE, SUITE D, MOUNT HOLLY, NJ 08060-2055
- **Practice address phone:** (609) 365-0794
- **Practice address fax:** (609) 489-5354
- **Mailing address:** PO BOX 95, MEDFORD, NJ 08055-0095

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | 25MA06259700 | NJ | Yes |

## Other

- **Enumeration date:** 02/23/2011
- **Last updated:** 02/23/2011
