Organization
VALLEY INSTITUTE FOR PAIN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD IANNACONE D.O. (PRESIDENT)
(201) 634-5313
Entity
Organization
Contact information
Practice address
1 VALLEY HEALTH PLZ, 3RD FLOOR, PARAMUS, NJ 07652-3628
(201) 634-5555
(201) 634-3780
Mailing address
1 VALLEY HEALTH PLZ, 3RD FLOOR, PARAMUS, NJ 07652-3628
(201) 634-5555
(201) 634-3780
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
09/26/2006
Last updated
11/21/2008
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