Organization
ACCELERATED REHAB & PAIN MANAGEMENT PA
Active
Organization
ACCELERATED REHAB & PAIN MANAGEMENT PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATIE BOLEN (MANAGER)
(973) 794-4704
Entity
Organization
Contact information
Practice address
1279 ROUTE 46, PARSIPPANY, NJ 07054-4904
(973) 794-4704
(973) 794-4707
Mailing address
PO BOX 4405, CLIFTON, NJ 07012-8405
(973) 794-4704
(973) 794-4707
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
235083
NY
207QA0401X
Addiction Medicine (Family Medicine) Physician
25MA07658100
NJ
208100000X
Physical Medicine & Rehabilitation Physician
Primary
235083
NY
208100000X
Physical Medicine & Rehabilitation Physician
25MA07658100
NJ
208VP0000X
Pain Medicine Physician
235083
NY
208VP0000X
Pain Medicine Physician
25MA07658100
NJ
208VP0014X
Interventional Pain Medicine Physician
235083
NY
208VP0014X
Interventional Pain Medicine Physician
25MA07658100
NJ
Other
Enumeration date
09/30/2009
Last updated
02/13/2020
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