Organization
PREMIUM INTERVENTIONAL PAIN MANAGEMENT CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADITY SHARMA M.D. (MEDICAL DIRECTOR)
(732) 952-5533
Entity
Organization
Contact information
Practice address
2105 JACKSON ST, 1ST FLOOR, HOUSTON, TX 77003-5839
(732) 952-5533
Mailing address
26 THROCKMORTON LN, 2ND FL, OLD BRIDGE, NJ 08857-2520
(732) 952-5533
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
04/20/2016
Last updated
04/20/2016
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