Organization
PRIMA PAIN RELIEF LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BAHER YANNI MD (OWNER)
(732) 698-1000
Entity
Organization
Contact information
Practice address
3 CORNWALL DR, EAST BRUNSWICK, NJ 08816-3311
(732) 698-1000
(798) 698-1008
Mailing address
3 CORNWALL DR, EAST BRUNSWICK, NJ 08816-3332
(732) 698-1000
(798) 698-1008
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA08105700
NJ
Other
Enumeration date
11/30/2007
Last updated
10/11/2011
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