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Organization
NEW JERSEY PAIN CENTER PC
Active
Organization
NEW JERSEY PAIN CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
INSUN S PARK DC (OWNER)
(201) 575-2783
Entity
Organization
Contact information
Practice address
845 BROAD AVE, 102, RIDGEFIELD, NJ 07657-1002
(201) 575-2783
Mailing address
100 WINSTON DR APT 6BN, CLIFFSIDE PARK, NJ 07010-3264
(201) 575-2783
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC0052330
NJ
Other
Enumeration date
10/26/2016
Last updated
10/12/2018
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