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Organization
SPINE AND PAIN SPECIALTY CARE LLC
Active
Organization
SPINE AND PAIN SPECIALTY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD SHEN MD (PAIN PHYSICIAN)
(908) 818-1600
Entity
Organization
Contact information
Practice address
219 S BROAD ST, ELIZABETH, NJ 07202-3453
(908) 818-1600
(908) 818-1601
Mailing address
219 S BROAD ST, ELIZABETH, NJ 07202-3453
(908) 818-1600
(908) 818-1601
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
NULL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
11/10/2014
Last updated
07/25/2016
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