# GARDEN STATE NEURO STIMULATION LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Garden State Neuro
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598063588
- **Authorized official:** MR. CHANCE MCELHANEY (MANAGER)
- **Authorized official phone:** (214) 261-3602

## Contact information

- **Practice address:** 111 WANAQUE AVE, POMPTON LAKES, NJ 07442-2101
- **Practice address phone:** (214) 261-3602
- **Mailing address:** 10740 N CENTRAL EXPY, SUITE 275, DALLAS, TX 75231-2161

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/01/2011
- **Last updated:** 03/01/2011