Organization
ABACI AND MASSEY PAIN MANAGEMENT CENTER, A MEDICAL CORPORATION
Active
Parent organization
BAPWC MEDICAL GROUP, INC
Other names
Bay Area Pain & Wellness Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
BAPWC MEDICAL GROUP, INC
Authorized official
GARY A. PELTZ MD (PRESIDENT)
(415) 461-7246
Entity
Organization
Contact information
Practice address
1050 NORTHGATE DR, SUITE 460, SAN RAFAEL, CA 94903-2526
(415) 461-7246
(415) 461-2476
Mailing address
1050 NORTHGATE DR, SUITE 460, SAN RAFAEL, CA 94903-2526
(415) 461-7246
(415) 461-2476
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
208VP0000X
Pain Medicine Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
04/04/2013
Last updated
07/19/2014
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