Organization
INTERVENTIONAL PAIN AND WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KUSH TRIPATHI MD (MEMBER)
(954) 943-1133
Entity
Organization
Contact information
Practice address
4515 WILES RD STE 201, COCONUT CREEK, FL 33073-3414
(954) 943-1133
Mailing address
4515 WILES RD STE 201, COCONUT CREEK, FL 33073-3414
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
08/09/2018
Last updated
08/09/2018
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