# PAINDOCTORS MEDICAL LLC

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

## Provider details

- **NPI number:** 1679274658
- **Authorized official:** ILANA ETELZON (OWNER)
- **Authorized official phone:** (908) 906-7813

## Contact information

- **Practice address:** 814 UNDERCLIFF AVE, EDGEWATER, NJ 07020-1521
- **Practice address phone:** (908) 906-7813
- **Mailing address:** PO BOX 209, EDGEWATER, NJ 07020-0209

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208VP0000X | Pain Medicine Physician | — | NULL | Yes |
| 208VP0000X | Pain Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/15/2023
- **Last updated:** 06/07/2023