# NJ PAIN MANAGEMENT & REHAB, P.A.

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

## Provider details

- **NPI number:** 1548505019
- **Authorized official:** DR. LYUDMILA PORETSKAYA MD (PRESIDENT)
- **Authorized official phone:** (908) 662-2222

## Contact information

- **Practice address:** 645 ELIZABETH AVE, ELIZABETH, NJ 07206-1131
- **Practice address phone:** (908) 662-2222
- **Mailing address:** PO BOX 9040, ELIZABETH, NJ 07201-0940

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | 25MA08695400 | NJ | Yes |

## Other

- **Enumeration date:** 12/10/2012
- **Last updated:** 12/10/2012