Organization
PROFESSIONAL PAIN MANAGEMENT DISPENSARY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER CORDA DO (OWNER)
(856) 740-4888
Entity
Organization
Contact information
Practice address
2007 N BLACK HORSE PIKE, WILLIAMSTOWN, NJ 08094-9120
(856) 740-4888
(856) 740-0558
Mailing address
2007 N BLACK HORSE PIKE, WILLIAMSTOWN, NJ 08094-9120
(856) 740-4888
(856) 740-0558
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
—
—
Other
Enumeration date
03/03/2015
Last updated
03/03/2015
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