Organization
GARDEN STATE PAIN MANAGEMENT, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD S. KOPPEL MD (PRESIDENT)
(973) 473-5752
Entity
Organization
Contact information
Practice address
1033 CLIFTON AVE STE 209, CLIFTON, NJ 07013-3525
(973) 473-5752
(973) 473-2459
Mailing address
1033 CLIFTON AVE STE 209, CLIFTON, NJ 07013-3525
(973) 473-5752
(973) 473-2459
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
261QP3300X
Pain Clinic/Center
—
—
Other
Enumeration date
05/25/2006
Last updated
10/22/2023
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