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Organization
SOUTH JERSEY PAIN CONSULTANTS LLC
Active
Organization
SOUTH JERSEY PAIN CONSULTANTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VINCENT PADULA DO (MANAGING MEMBER)
(856) 797-5777
Entity
Organization
Contact information
Practice address
525 ROUTE 73 S, SUITE 103, MARLTON, NJ 08053-9642
(856) 464-5777
Mailing address
525 ROUTE 73 S, SUITE 103, MARLTON, NJ 08053-9642
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
MB67388
NJ
Other
Enumeration date
10/06/2016
Last updated
11/21/2016
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