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Organization
PAIN AND REHABILITATION MEDICINE LLC
Active
Organization
PAIN AND REHABILITATION MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BEENA S BALAKRISHNAN MD (OWNER)
(201) 690-6122
Entity
Organization
Contact information
Practice address
223 N VAN DIEN AVE, RIDGEWOOD, NJ 07450-2726
(201) 690-6122
Mailing address
PO BOX 422, HILLSDALE, NJ 07642-0422
(201) 690-6122
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MA07973200
NJ
Other
Enumeration date
12/30/2008
Last updated
12/10/2010
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