# VISTA PAIN MANAGEMENT, LLC

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

## Provider details

- **NPI number:** 1306611876
- **Authorized official:** TERENCE WELSH MD (OWNER)
- **Authorized official phone:** (908) 591-9839

## Contact information

- **Practice address:** 197 RIDGEDALE AVE STE 225, CEDAR KNOLLS, NJ 07927-2111
- **Practice address phone:** (862) 260-4265
- **Mailing address:** 197 RIDGEDALE AVE STE 225, CEDAR KNOLLS, NJ 07927-2111
- **Mailing address phone:** (862) 260-4265

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0800X | Psychiatry Physician | — | NULL | — |
| 2084P0800X | Psychiatry Physician | — | — | — |
| 208VP0000X | Pain Medicine Physician | — | NULL | Yes |
| 208VP0000X | Pain Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/15/2023
- **Last updated:** 11/15/2023