# PAIN RELIEF CENTRAL NEW JERSEY LLC

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

## Provider details

- **NPI number:** 1346618808
- **Authorized official:** NICOLE KEEGAN ANP (OWNER)
- **Authorized official phone:** (908) 692-9833

## Contact information

- **Practice address:** 1131 BROAD ST, 201, SHREWSBURY, NJ 07702-4329
- **Practice address phone:** (908) 692-9833
- **Mailing address:** PO BOX 62, 201, LONG BRANCH, NJ 07740-0062

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 26NJ00253100 | NJ | Yes |

## Other

- **Enumeration date:** 09/14/2015
- **Last updated:** 09/14/2015