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Organization

PRIME PAINMANAGEMENT PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JIGNYASA DESAI DO (OWNER)
(201) 342-1205
Entity
Organization

Contact information

Practice address
118-126 BROAD AVENUE, UNIT 11, PALISADES PARK, NJ 07650
(855) 443-2544
Mailing address
PO BOX 350, EDGEWATER, NJ 07020-0350

Taxonomy

Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary

Other

Enumeration date
06/27/2017
Last updated
05/15/2019
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