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Organization
VISTA PAIN MANAGEMENT, LLC
Active
Organization
VISTA PAIN MANAGEMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERENCE WELSH MD (OWNER)
(908) 591-9839
Entity
Organization
Contact information
Practice address
197 RIDGEDALE AVE STE 225, CEDAR KNOLLS, NJ 07927-2111
(862) 260-4265
Mailing address
197 RIDGEDALE AVE STE 225, CEDAR KNOLLS, NJ 07927-2111
(862) 260-4265
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
—
NULL
2084P0800X
Psychiatry Physician
—
—
208VP0000X
Pain Medicine Physician
Primary
—
NULL
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Enumeration date
11/15/2023
Last updated
11/15/2023
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