# MMIDDLETOWN INTERVENTIONAL PAIN MANAGEMENT, P.C.

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

## Provider details

- **NPI number:** 1588183008
- **Authorized official:** DR. CHINWEIKE IZEOGU M.D (MEDICAL DOCTOR)
- **Authorized official phone:** (845) 381-1164

## Contact information

- **Practice address:** MIDDLETOWN INTERVENTIONAL PAIN MANAGEMENT, P.C., 400 ROUTE 211 EAST SUITE 12, MIDDLETOWN, NY 10940-2123
- **Practice address phone:** (845) 381-1164
- **Mailing address:** 14502 W MEEKER BLVD, SUN CITY WEST, AZ 85375-5282
- **Mailing address phone:** (623) 524-8814

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |
| 208VP0014X | Interventional Pain Medicine Physician | 235169 | NY | — |

## Other

- **Enumeration date:** 09/15/2017
- **Last updated:** 09/24/2020