# CENTER FOR PAIN MANAGEMENT LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ELITE SPINE AND PAIN PLLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1821431305
- **Legal business name:** ELITE SPINE AND PAIN PLLC
- **Authorized official:** DR. SARETA COUBAROUS DO (ATTENDING PHYSICIAN)
- **Authorized official phone:** (267) 879-9260

## Contact information

- **Practice address:** 1030 KINGS HWY N, SUITE 200A, CHERRY HILL, NJ 08034-1907
- **Practice address phone:** (856) 779-7774
- **Practice address fax:** (856) 779-7787
- **Mailing address:** 1030 KINGS HWY N, SUITE 200A, CHERRY HILL, NJ 08034-1907
- **Mailing address phone:** (856) 779-7774
- **Mailing address fax:** (856) 779-7787

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | 25MB 08055900 | NJ | Yes |

## Other

- **Enumeration date:** 04/15/2013
- **Last updated:** 04/15/2013