# TRISTATE INTERVENTIONAL PAIN AND REGENERATIVE MEDICINE

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

## Provider details

- **NPI number:** 1497342794
- **Authorized official:** DR. TANUJ PALVIA MD (DIRECTOR)
- **Authorized official phone:** (336) 324-3366

## Contact information

- **Practice address:** 561 ROUTE 1, EDISON, NJ 08817-4400
- **Practice address phone:** (732) 894-9200
- **Mailing address:** 162 16TH ST APT 9A, BROOKLYN, NY 11215-8711
- **Mailing address phone:** (336) 324-3366

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/22/2020
- **Last updated:** 12/22/2020