Organization
MMIDDLETOWN INTERVENTIONAL PAIN MANAGEMENT, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHINWEIKE IZEOGU M.D (MEDICAL DOCTOR)
(845) 381-1164
Entity
Organization
Contact information
Practice address
MIDDLETOWN INTERVENTIONAL PAIN MANAGEMENT, P.C., 400 ROUTE 211 EAST SUITE 12, MIDDLETOWN, NY 10940-2123
(845) 381-1164
Mailing address
14502 W MEEKER BLVD, SUN CITY WEST, AZ 85375-5282
(623) 524-8814
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
208VP0014X
Interventional Pain Medicine Physician
235169
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
235169
MEDICAL LICENSE NUMBER
NY
Enumeration date
09/15/2017
Last updated
09/24/2020
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