Organization
TRI-COUNTY PAIN MANAGEMENT & REHABILITATION, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP LUTZ MD (PRESIDENT)
(208) 042-8008
Entity
Organization
Contact information
Practice address
206 BERGEN AVE, KEARNY, NJ 07032-3324
(201) 955-7000
Mailing address
PO BOX 43776, UPPER MONTCLAIR, NJ 07043-0776
(201) 804-2800
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
06/17/2006
Last updated
07/12/2007
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