Organization
INTERVENTIONAL PAIN MEDICINE OF NEW JERSEY, LLC
Active
Organization
INTERVENTIONAL PAIN MEDICINE OF NEW JERSEY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH PARK MD (MEDICAL DIRECTOR)
(201) 487-7246
Entity
Organization
Contact information
Practice address
680 KINDERKAMACK RD, ORADELL, NJ 07649-1600
(201) 487-7246
Mailing address
PO BOX 95000, CL # 4430, PHILADELPHIA, PA 19195-4430
(201) 804-2800
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
05/12/2010
Last updated
05/12/2010
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