Organization
ADVANCED MEDICAL SPECIALTIES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IGOR PRIVEN M.D. (MEDICAL DIRECTOR)
(732) 845-2200
Entity
Organization
Contact information
Practice address
345 RT 9 SOUTH, SUITE 9, MANALAPAN, NJ 07726
(732) 845-2200
(732) 837-4514
Mailing address
345 RT 9 SOUTH, SUITE 9, MANALAPAN, NJ 07726
(732) 845-2200
(732) 837-4514
Taxonomy
Speciality
Code
Description
License number
State
2081N0008X
Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
Other
Enumeration date
11/06/2009
Last updated
11/06/2009
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