Organization
PREMIER PAIN MANAGEMENT LLC
Active
Organization
PREMIER PAIN MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANTI S EPPANAPALLY M.D. (OWNER)
(972) 941-2961
Entity
Organization
Contact information
Practice address
1060 CLIFTON AVE, CLIFTON, NJ 07013-3638
(973) 779-7246
(973) 779-8989
Mailing address
PO BOX 4224, CLIFTON, NJ 07012-9998
(973) 779-7246
(973) 779-8989
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
25MA68664
NJ
Other
Enumeration date
01/12/2017
Last updated
01/12/2017
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