Organization
PAIN CARE ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAKESH CHANDER GUPTA M.D. (PRESIDENT)
(609) 509-1945
Entity
Organization
Contact information
Practice address
120 MADISON AVE, SUITE D, MOUNT HOLLY, NJ 08060-2055
(609) 365-0794
(609) 489-5354
Mailing address
PO BOX 95, MEDFORD, NJ 08055-0095
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
25MA06259700
NJ
Other
Enumeration date
02/23/2011
Last updated
02/23/2011
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