Organization
PRESTIGE PAIN CENTERS PC
Active
Organization
PRESTIGE PAIN CENTERS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GURBIR JOHAL M.D. (OWNER)
(732) 441-7177
Entity
Organization
Contact information
Practice address
125 WASHINGTON AVE, CARTERET, NJ 07008-2635
(732) 441-7177
(732) 441-7165
Mailing address
400 ROUTE 34, SUITE A, MATAWAN, NJ 07747-2155
(732) 441-7177
(732) 441-7165
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
25MA10000100
NJ
Other
Enumeration date
05/10/2017
Last updated
05/10/2017
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