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Organization

PAIN RELIEF CENTRAL NEW JERSEY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NICOLE KEEGAN ANP (OWNER)
(908) 692-9833
Entity
Organization

Contact information

Practice address
1131 BROAD ST, 201, SHREWSBURY, NJ 07702-4329
(908) 692-9833
Mailing address
PO BOX 62, 201, LONG BRANCH, NJ 07740-0062

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ00253100
NJ

Other

Enumeration date
09/14/2015
Last updated
09/14/2015
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