# JERSEY STATE PAIN MANAGEMENT

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

## Provider details

- **NPI number:** 1881093219
- **Authorized official:** DR. LUIS RAMIREZ-PACHECO M.D (MEDICAL DIRECTOR)
- **Authorized official phone:** (201) 758-7530

## Contact information

- **Practice address:** 404 32ND ST APT 1, UNION CITY, NJ 07087-3966
- **Practice address phone:** (201) 758-7530
- **Practice address fax:** (201) 758-7529
- **Mailing address:** PO BOX 732, UNION CITY, NJ 07087-0732
- **Mailing address phone:** (201) 758-7530
- **Mailing address fax:** (201) 758-7529

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208VP0000X | Pain Medicine Physician | 25MA05052100 | NJ | Yes |

## Other

- **Enumeration date:** 08/21/2014
- **Last updated:** 08/21/2014