Organization
PAIN MANAGEMENT AND WELLNESS CENTER, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY A GUDIN M.D. (PRESIDENT)
(201) 894-3595
Entity
Organization
Contact information
Practice address
350 ENGLE ST, ENGLEWOOD, NJ 07631-1808
(201) 894-3595
Mailing address
PO BOX 9044, BARDONIA, NY 10954-9044
(201) 894-3595
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
25MA07042200
NJ
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
07/17/2007
Last updated
08/20/2009
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