Organization
NEW JERSEY PAIN CARE CENTER PC
Active
Organization
NEW JERSEY PAIN CARE CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHY IODICE (PRACTICE MANAGER)
(973) 400-1716
Entity
Organization
Contact information
Practice address
44 STATE RT 23, STE 15B, RIVERDALE, NJ 07457-1603
(973) 400-1716
(973) 400-1631
Mailing address
44 STATE RT 23, STE 15B, RIVERDALE, NJ 07457-1603
(973) 400-1716
(973) 400-1631
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207LH0002X
Hospice and Palliative Medicine (Anesthesiology) Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
2084N0400X
Neurology Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
225100000X
Physical Therapist
—
—
Other
Enumeration date
03/03/2009
Last updated
01/28/2014
Update your record
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