Organization
NEW JERSEY SPINE AND PAIN, PC
Active
Organization
NEW JERSEY SPINE AND PAIN, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHINWEIKE IZEOGU MD (MEDICAL DIRECTOR)
(201) 988-0699
Entity
Organization
Contact information
Practice address
725 RIVER RD, SUITE 32-107, EDGEWATER, NJ 07020-1171
(201) 988-0699
Mailing address
725 RIVER RD, SUITE 32-107, EDGEWATER, NJ 07020-1171
(201) 988-0699
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
25MA08075700
NJ
Other
Enumeration date
05/17/2013
Last updated
08/12/2013
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