Organization
PROFESSIONAL PAIN MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER CORDA (OWNER)
(609) 703-5097
Entity
Organization
Contact information
Practice address
2007 N BLACK HORSE PIKE, WILLIAMSTOWN, NJ 08094-9120
(856) 740-4888
Mailing address
2007 N BLACK HORSE PIKE, WILLIAMSTOWN, NJ 08094-9120
(856) 740-4888
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
25MB04459800
NJ
Other
Enumeration date
01/24/2017
Last updated
01/24/2017
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