Organization
PAIN CENTERS OF AMERICA, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAO GEDALA (BUSINESS MANAGER)
(973) 779-7354
Entity
Organization
Contact information
Practice address
1060 CLIFTON AVE, CLIFTON, NJ 07013-3638
(973) 779-7354
(973) 779-7354
Mailing address
1060 CLIFTON AVE, CLIFTON, NJ 07013-3638
(973) 779-7354
(973) 779-7385
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0064181
—
NJ
Enumeration date
09/26/2006
Last updated
04/15/2009
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