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Organization

EPIC PAIN MANAGEMENT & ANESTHESIA CONSULTANTS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AMIT GOSWAMI MD (PROVIDER/OWNER)
(646) 620-6415
Entity
Organization

Contact information

Practice address
516 HAMBURG TPKE, STE 2, WAYNE, NJ 07470-2062
(973) 866-0336
Mailing address
PO BOX 1779, FORT LEE, NJ 07024-8279
(973) 866-0336

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
01058973A
IN
207LP2900X
Pain Medicine (Anesthesiology) Physician
256512
NY
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
25MA08519500
NJ
207LP2900X
Pain Medicine (Anesthesiology) Physician
MD434945
PA

Other

Enumeration date
05/24/2010
Last updated
02/13/2017
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