# TRISTATE SPINE AND PAIN LLC

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

## Provider details

- **NPI number:** 1548675879
- **Authorized official:** DR. RAJAT SEKHAR M.D. (CO-FOUNDER)
- **Authorized official phone:** (732) 849-9500

## Contact information

- **Practice address:** 63 LACEY RD, SUITE C, WHITING, NJ 08759-2966
- **Practice address phone:** (732) 849-9500
- **Practice address fax:** (732) 849-9501
- **Mailing address:** 63 LACEY RD, SUITE C, WHITING, NJ 08759-2966
- **Mailing address phone:** (732) 849-9500
- **Mailing address fax:** (732) 849-9501

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | 25MA08297000 | NJ | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | 25MA09282300 | NJ | — |

## Other

- **Enumeration date:** 06/25/2014
- **Last updated:** 01/05/2015