Organization
PAIN AND SPINE SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IDREES AHMAD MD (MD/OWNER)
(973) 467-1466
Entity
Organization
Contact information
Practice address
187 MILLBURN AVE, SUITE 101, MILLBURN, NJ 07041-1847
(973) 943-5728
Mailing address
187 MILLBURN AVE, SUITE 101, MILLBURN, NJ 07041-1847
(973) 943-5728
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Enumeration date
05/13/2014
Last updated
05/13/2014
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