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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