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Organization

NORTHERN JERSEY INTERVENTIONAL PAIN SPECIALIST PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. AMRISH PATEL MD (PRESIDENT)
(201) 974-1541
Entity
Organization

Contact information

Practice address
714 10TH ST, SUITE 6A, SECAUCUS, NJ 07094-2921
(201) 974-1541
(201) 974-1581
Mailing address
714 10TH ST, SUITE 6A, SECAUCUS, NJ 07094-2921
(201) 974-1541
(201) 974-1581

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA07127500
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1689683542
NPI INDIVIDUAL NUMBER
NJ
Enumeration date
11/06/2006
Last updated
08/22/2020
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