Organization
INNOVATIVE PAIN MANAGEMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY L YEN MD (OWNER)
(732) 495-0777
Entity
Organization
Contact information
Practice address
199 MAIN ST, 2ND FL, KEANSBURG, NJ 07734-1734
(732) 495-0777
(732) 495-1009
Mailing address
199 MAIN ST, 2ND FL, KEANSBURG, NJ 07734-1734
(732) 495-0777
(732) 495-1009
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
NJ
Other
Enumeration date
10/06/2010
Last updated
03/08/2012
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