Organization
PAIN CENTER NJ PC
Active
Other names
na
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASMA SIDDIQUI MD (OWNER)
(732) 636-7888
Entity
Organization
Contact information
Practice address
4359 HIGHWAY 516, MATAWAN, NJ 07747-2158
(732) 636-7888
(732) 636-7887
Mailing address
4359 HIGHWAY 516, OLD BRIDGE, NJ 07747-2158
(732) 636-7888
(732) 636-7887
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
25MA07807000
NJ
Other
Enumeration date
02/11/2014
Last updated
02/27/2014
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