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Organization
EAST END PAIN MANAGEMENT, LLC
Active
Organization
EAST END PAIN MANAGEMENT, LLC
Active
Other names
East End Pain Center
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN J. GARGIULO M.D. (MEDICAL DIRECTOR)
(631) 702-2300
Entity
Organization
Contact information
Practice address
365 COUNTY ROAD 39A, SUITE 15 & 16, SOUTHAMPTON, NY 11968
(631) 702-2300
(631) 702-2303
Mailing address
365 COUNTY ROAD 39A, SUITE 15 & 16, SOUTHAMPTON, NY 11968
(631) 702-2300
(631) 702-2303
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
NULL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
208VP0014X
Interventional Pain Medicine Physician
—
NULL
208VP0014X
Interventional Pain Medicine Physician
—
—
Other
Enumeration date
05/26/2006
Last updated
02/16/2011
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