Organization
CENTER FOR PAIN CONTROL NEW BRUNSWICK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GABRIELE PHILIP JASPER M.D. (MANAGING MEMBER)
(732) 262-0700
Entity
Organization
Contact information
Practice address
440 S MAIN ST, MILLTOWN, NJ 08850-1725
(732) 967-0050
Mailing address
440 S MAIN ST, MILLTOWN, NJ 08850-1725
(732) 967-0050
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
25MA06352100
NJ
Other
Enumeration date
08/17/2007
Last updated
11/15/2007
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