Organization
INTEGRATED PAINCARE CENTER LLP
Active
Other names
PainCare & Rehab Center LLP
Organization subpart
No
Provider details
NPI number
Authorized official
TONY T JIANG M.D. (MANAGING PARTNER)
(973) 822-3338
Entity
Organization
Contact information
Practice address
252 COLUMBIA TPKE, FLORHAM PARK, NJ 07932-1248
(973) 822-3338
Mailing address
252 COLUMBIA TPKE, FLORHAM PARK, NJ 07932-1248
(973) 822-3338
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
25MA06699400
NJ
208100000X
Physical Medicine & Rehabilitation Physician
Primary
25MA06497300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1205169885
NPI
NJ
01
—
1992718530
NPI
NJ
Enumeration date
11/16/2009
Last updated
12/07/2012
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