Organization
CENTRAL PAIN MGMT OF NJ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS TINA SHALLONIS (BILLING)
(732) 332-9280
Entity
Organization
Contact information
Practice address
200 STATE ROUTE 34 N, COLTS NECK, NJ 07722-1234
(732) 332-9280
(732) 332-0444
Mailing address
200 STATE ROUTE 34 N, COLTS NECK, NJ 07722-1234
(732) 332-9280
(732) 332-0444
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
MB70770
NJ
225100000X
Physical Therapist
Primary
40QA01163000
NJ
Other
Enumeration date
01/16/2007
Last updated
09/11/2025
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