Organization
GARDEN STATE PAIN AND RADIOLOGY CENTER, PC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DHARAM PAL MANN M.D. (OWNER)
(732) 849-0077
Entity
Organization
Contact information
Practice address
1100 ROUTE 70, WHITING, NJ 08759-1003
(732) 849-0077
(732) 849-0015
Mailing address
PO BOX 397, WHITING, NJ 08759-0397
(732) 849-0077
(732) 849-0015
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA07706000
NJ
Other
Enumeration date
03/11/2008
Last updated
11/01/2011
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