Organization
ADVANCED PAIN & REHABILITATION CONSULTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHINWEIKE IZEOGU M.D. (MEDICAL DIRECTOR)
(973) 673-0601
Entity
Organization
Contact information
Practice address
19 YAWPO AVE, OAKLAND, NJ 07436-2739
(973) 673-0601
Mailing address
19 YAWPO AVE, OAKLAND, NJ 07436-2739
(973) 673-0601
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
25MA08075700
NJ
261QM1300X
Multi-Specialty Clinic/Center
Primary
25MA08075700
NJ
261QP2000X
Physical Therapy Clinic/Center
25MA08075700
NJ
261QP3300X
Pain Clinic/Center
25MA08075700
NJ
Other
Enumeration date
01/20/2016
Last updated
09/09/2016
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