# PACIFICA PM&R LLC

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

## Provider details

- **NPI number:** 1699556886
- **Authorized official:** IVAN CHEN MD (OWNER)
- **Authorized official phone:** (908) 412-0900

## Contact information

- **Practice address:** 323 MAIN ST STE E, METUCHEN, NJ 08840-2476
- **Practice address phone:** (908) 412-0900
- **Mailing address:** PO BOX 580, METUCHEN, NJ 08840-0580
- **Mailing address phone:** (908) 412-0900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/12/2023
- **Last updated:** 10/12/2023