Organization
TRISTATE PAIN CONSULTANTS, PC
Active
Organization
TRISTATE PAIN CONSULTANTS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHINWEIKE IZEOGU MD (MEDICAL DIRECTOR)
(917) 749-5701
Entity
Organization
Contact information
Practice address
33 CLYDE RD, 105, SOMERSET, NJ 08873-5032
(917) 749-5701
Mailing address
33 CLYDE RD, 105, SOMERSET, NJ 08873-5032
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
25MA08075700
NJ
Other
Enumeration date
04/27/2015
Last updated
04/27/2015
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