Organization
PAC PROFESSIONAL PAIN MANAGEMENT, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURENCE WIENER (OWNER)
(609) 581-6610
Entity
Organization
Contact information
Practice address
1235 WHITEHORSE MERCERVILLE RD, SUITE 310, HAMILTON, NJ 08619-3810
(609) 581-6610
Mailing address
PO BOX 8500-6796, PHILADELPHIA, PA 19178-0001
(201) 804-2800
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Enumeration date
11/05/2007
Last updated
11/05/2007
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