Organization
INTERVENTIONAL PAIN CONSULTANTS OF NEW JERSEY, PA
Active
Organization
INTERVENTIONAL PAIN CONSULTANTS OF NEW JERSEY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAVI K VENKATARAMAN M.D. (CEO)
(973) 779-7354
Entity
Organization
Contact information
Practice address
5 FRANKLIN AVE, SUITE 110, BELLEVILLE, NJ 07109-3532
(973) 779-7354
(973) 779-7385
Mailing address
PO BOX 4253, CLIFTON, NJ 07012-8253
(973) 779-7354
(973) 779-7385
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
25MA07077100
NJ
Other
Enumeration date
11/08/2007
Last updated
11/08/2007
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