# SOUTH JERSEY PAIN CONSULTANTS LLC

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

## Provider details

- **NPI number:** 1700336450
- **Authorized official:** VINCENT PADULA DO (MANAGING MEMBER)
- **Authorized official phone:** (856) 797-5777

## Contact information

- **Practice address:** 525 ROUTE 73 S, SUITE 103, MARLTON, NJ 08053-9642
- **Practice address phone:** (856) 464-5777
- **Mailing address:** 525 ROUTE 73 S, SUITE 103, MARLTON, NJ 08053-9642

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | MB67388 | NJ | Yes |

## Other

- **Enumeration date:** 10/06/2016
- **Last updated:** 11/21/2016