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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