Organization
INTERVENTIONAL PAIN AND SPINE INSTITUTE INC
Active
Organization
INTERVENTIONAL PAIN AND SPINE INSTITUTE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRAJAKTA AVHAD MD (OWNER)
(732) 476-8971
Entity
Organization
Contact information
Practice address
1907 OAK TREE RD STE 102, EDISON, NJ 08820-2070
(732) 884-7246
(800) 754-7408
Mailing address
9 MONTICELLO CT, MORGANVILLE, NJ 07751-4162
(732) 444-8888
(732) 515-4000
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
261QP3300X
Pain Clinic/Center
—
—
Other
Enumeration date
08/04/2016
Last updated
10/29/2020
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