Organization
INTERVENTIONAL PAIN MANAGEMENT AND ORTHO-SPINE MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADITY SHARMA MD (SOLE MEMBER)
(732) 698-1000
Entity
Organization
Contact information
Practice address
3848 PARK AVE STE 100, EDISON, NJ 08820-2508
(732) 952-5533
Mailing address
3848 PARK AVE STE 101, EDISON, NJ 08820-2508
(732) 698-1000
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
—
2086S0129X
Vascular Surgery Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
10/13/2022
Last updated
10/13/2022
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