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Organization

SPINE AND PAIN RELIEF CENTER

Active
Parent organization
SPINE AND PAIN RELIEF CENTER
Other names
spine and pain relief center
Organization subpart
Yes

Provider details

NPI number
Legal business name
SPINE AND PAIN RELIEF CENTER
Authorized official
RAED HATTAB MD (MEDICAL DOCTOR)
(917) 651-3629
Entity
Organization

Contact information

Practice address
924 BROADWAY, BAYONNE, NJ 07002-2155
(201) 243-6211
Mailing address
924 BROADWAY, BAYONNE, NJ 07002-2155
(201) 243-6211
(201) 455-2422

Taxonomy

Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary

Other

Enumeration date
09/15/2020
Last updated
09/15/2020
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