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Organization
RA PAIN SERVICES PA
Active
Organization
RA PAIN SERVICES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW LEGOWSKI (OPERATIONS)
(609) 703-5097
Entity
Organization
Contact information
Practice address
506 S NEW YORK RD, GALLOWAY, NJ 08205-9761
(609) 703-5097
Mailing address
506 S NEW YORK RD, GALLOWAY, NJ 08205-9761
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
25MA08897600
NJ
Other
Enumeration date
06/07/2016
Last updated
06/07/2016
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