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Organization
GARDEN STATE NEURO STIMULATION LLC
Active
Organization
GARDEN STATE NEURO STIMULATION LLC
Active
Other names
Garden State Neuro
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHANCE MCELHANEY (MANAGER)
(214) 261-3602
Entity
Organization
Contact information
Practice address
111 WANAQUE AVE, POMPTON LAKES, NJ 07442-2101
(214) 261-3602
Mailing address
10740 N CENTRAL EXPY, SUITE 275, DALLAS, TX 75231-2161
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
NULL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
03/01/2011
Last updated
03/01/2011
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