Organization
EPIC PAIN MANAGEMENT & ANESTHESIA CONSULTANTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMIT GOSWAMI MD (PRESIDENT)
(973) 866-0336
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
261QP3300X
Pain Clinic/Center
256512
NY
261QP3300X
Pain Clinic/Center
Primary
25MA08519500
NJ
261QP3300X
Pain Clinic/Center
MD434945
PA
Other
Enumeration date
06/22/2010
Last updated
02/13/2017
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