Organization
PREMIER PAIN CENTERS, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL WILLIAM O'HARA (DO)
(732) 380-0200
Entity
Organization
Contact information
Practice address
150 CHAMBERS BRIDGE RD STE 201, BRICK, NJ 08723-3491
(732) 458-0322
Mailing address
11350 MCCORMICK RD, EXECUTIVE PLAZA 1, STE. 501, HUNT VALLEY, MD 21031
(410) 329-1071
(410) 329-1054
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
08/27/2018
Last updated
08/27/2018
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