Organization
ROWANSOM NMI INTERVENTIONAL MEDICINE
Active
Organization
ROWANSOM NMI INTERVENTIONAL MEDICINE
Active
Other names
UMDNJ-SOM Interventional Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL RIEKER (INTERIM CHIEF FINANCIAL OFFICIER)
(856) 770-5772
Entity
Organization
Contact information
Practice address
42 E LAUREL RD, UDP #1700, STRATFORD, NJ 08084-1354
(856) 566-7010
(856) 566-6956
Mailing address
PO BOX 635, BELLMAWR, NJ 08099-0635
(856) 566-6706
(856) 566-2797
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
03/28/2011
Last updated
05/15/2013
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