Organization
TRI STATE SPINE AND PAIN PROFESSIONAL CORPORATION
Active
Other names
TRI STATE SPINE AND PAIN PROFESSIONAL CORPORATION
Organization subpart
No
Provider details
NPI number
Authorized official
MIKHAIL ARTAMONOV MD (CEO)
(570) 972-6778
Entity
Organization
Contact information
Practice address
596 ANDERSON AVE STE 216, CLIFFSIDE PARK, NJ 07010-1856
(551) 277-2071
(561) 529-5144
Mailing address
596 ANDERSON AVE STE 216, CLIFFSIDE PARK, NJ 07010-1856
(551) 277-2071
(561) 529-5144
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Enumeration date
03/28/2022
Last updated
03/28/2022
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