# PROFESSIONAL PAIN MANAGEMENT

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

## Provider details

- **NPI number:** 1477090777
- **Authorized official:** DR. PETER CORDA (OWNER)
- **Authorized official phone:** (609) 703-5097

## Contact information

- **Practice address:** 2007 N BLACK HORSE PIKE, WILLIAMSTOWN, NJ 08094-9120
- **Practice address phone:** (856) 740-4888
- **Mailing address:** 2007 N BLACK HORSE PIKE, WILLIAMSTOWN, NJ 08094-9120
- **Mailing address phone:** (856) 740-4888

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | 25MB04459800 | NJ | Yes |

## Other

- **Enumeration date:** 01/24/2017
- **Last updated:** 01/24/2017