# HYDE PARK PAIN MANAGEMENT, LLC

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

## Provider details

- **NPI number:** 1619101763
- **Authorized official:** ROBERTO F FELIZ MD (PRESIDENT)
- **Authorized official phone:** (781) 407-7713

## Contact information

- **Practice address:** 188 PROVIDENCE ST, HYDE PARK, MA 02136-1856
- **Practice address phone:** (781) 407-7713
- **Mailing address:** 188 PROVIDENCE ST, HYDE PARK, MA 02136-1856

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/05/2009
- **Last updated:** 03/17/2011