Organization
ADVANCED INTERVENTIONAL PAIN MANAGEMENT CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KETA PATEL (PRACTICE MANAGER)
(732) 952-5533
Entity
Organization
Contact information
Practice address
26 THROCKMORTON LN, SECOND FLOOR, OLD BRIDGE, NJ 08857-2520
(732) 952-5533
(732) 707-4732
Mailing address
26 THROCKMORTON LN, SECOND FLOOR, OLD BRIDGE, NJ 08857-2520
(732) 952-5533
(732) 707-4732
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
25MP00356700
NJ
Other
Enumeration date
02/16/2015
Last updated
02/16/2015
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