Organization
NJ PAIN MANAGEMENT & REHAB, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LYUDMILA PORETSKAYA MD (PRESIDENT)
(908) 662-2222
Entity
Organization
Contact information
Practice address
645 ELIZABETH AVE, ELIZABETH, NJ 07206-1131
(908) 662-2222
Mailing address
PO BOX 9040, ELIZABETH, NJ 07201-0940
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
25MA08695400
NJ
Other
Enumeration date
12/10/2012
Last updated
12/10/2012
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