Organization
GARDEN STATE PAIN MANAGEMENT ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KISHORI SHAH M.D. (MEDICAL DIRECTOR)
(732) 343-6547
Entity
Organization
Contact information
Practice address
1692 OAK TREE RD, EDISON, NJ 08820-2853
(732) 635-9729
(732) 906-7801
Mailing address
1692 OAK TREE RD, EDISON, NJ 08820-2853
(732) 635-9729
(732) 906-7801
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
01/11/2011
Last updated
01/11/2011
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