Organization
INTERVENTIONAL SPINE AND PAIN TREATMENT CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY RAMNANAN MD (OWNER)
(973) 949-5009
Entity
Organization
Contact information
Practice address
535 HIGH MOUNTAIN RD, SUITE 202, NORTH HALEDON, NJ 07508-2665
(973) 949-5009
(973) 949-5010
Mailing address
PO BOX 604, SADDLE RIVER, NJ 07458-0604
(973) 949-5009
(973) 949-5010
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
207L00000X
Anesthesiology Physician
25MA04543000
NJ
208VP0014X
Interventional Pain Medicine Physician
Primary
25MA04543000
NJ
Other
Enumeration date
06/19/2006
Last updated
09/17/2010
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