Organization
PAIN MODULATION ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH BRANTON M.D. (PRESIDENT)
(781) 710-8440
Entity
Organization
Contact information
Practice address
480 MAPLE ST, PAIN MANAGEMENT CENTER, DANVERS, MA 01923-4065
(978) 304-8601
(978) 304-8621
Mailing address
44 CASTLE VIEW DR, GLOUCESTER, MA 01930-1519
(781) 710-8440
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
151081
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3157113
—
MA
Enumeration date
03/09/2017
Last updated
03/09/2017
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