Organization
PAIN RELIEF CENTER OF CENTRAL NEW JERSEY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE KEEGAN DNP, APN (CEO)
(908) 692-9833
Entity
Organization
Contact information
Practice address
855 WOODGATE AVE, APT 2, LONG BRANCH, NJ 07740-4871
(908) 692-9833
Mailing address
855 WOODGATE AVE, APT 2, LONG BRANCH, NJ 07740-4871
(908) 692-9833
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Enumeration date
06/18/2015
Last updated
06/18/2015
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