Organization
PHOENIX PAIN RELIEF CENTERS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUDOLPH WILLIS MD (DIRECTOR)
(908) 378-5028
Entity
Organization
Contact information
Practice address
1000 GALLOPING HILL RD, SUITE 106, UNION, NJ 07083-7989
(908) 378-5028
(908) 378-5796
Mailing address
1000 GALLOPING HILL RD, SUITE 106, UNION, NJ 07083-7989
(908) 378-5028
(908) 378-5796
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA04275000
NJ
Other
Enumeration date
05/10/2012
Last updated
05/10/2012
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