Organization
PAIN AND WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIEN VAISMAN MD (PRESIDENT)
(978) 826-7230
Entity
Organization
Contact information
Practice address
10 CENTENNIAL DR, EAST ENTRANCE, PEABODY, MA 01960-7900
(978) 826-7230
Mailing address
10 CENTENNIAL DR, EAST ENTRANCE, PEABODY, MA 01960-7900
(978) 826-7230
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
71164
MA
332B00000X
Durable Medical Equipment & Medical Supplies
71164
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M17785
BCBC GROUP NUMBER
MA
01
—
M20326
MEDICARE GROUP NUMBER
MA
Enumeration date
01/29/2008
Last updated
09/18/2025
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