Organization
CENTERS FOR PAIN SOLUTIONS,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY M JANKO (EXEC VP CHIEF OPERATING OFFICER)
(603) 577-3003
Entity
Organization
Contact information
Practice address
280 MAIN STREET, SUITE 420, NASHUA, NH 03060
(603) 577-3003
(603) 577-3331
Mailing address
280 MAIN STREET, SUITE 420, NASHUA, NH 03060
(603) 577-3003
(603) 577-3331
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
02841
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30621691
—
NH
Enumeration date
12/01/2006
Last updated
12/18/2008
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