Organization
SIRONA HEALTHCARE LLC
Active
Other names
Sirona Pain Management & Anesthesia
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHAD J ITZKOVICH MD (MANAGING MEMBER)
(973) 200-8396
Entity
Organization
Contact information
Practice address
2740 ROUTE 10 WEST, SUITE 104, MORRIS PLAINS, NJ 07950
(973) 200-8396
(973) 695-1864
Mailing address
PO BOX 758, MORRIS PLAINS, NJ 07950-0758
(973) 200-8396
(973) 695-1864
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
2084P0800X
Psychiatry Physician
—
—
208VP0000X
Pain Medicine Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
Other
Enumeration date
06/27/2017
Last updated
07/21/2022
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