Organization
PRECISION PAIN MANAGEMENT CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISTAPPA SANGAVARAM MD (PRESIDENT)
(201) 796-4007
Entity
Organization
Contact information
Practice address
303 MOLNAR DR, 1ST FLOOR, ELMWOOD PARK, NJ 07407-3213
(201) 796-4002
(201) 796-4005
Mailing address
303 MOLNAR DRIVE, 1ST FLOOR, ELMWOOD PARK, NJ 07407-3213
(201) 796-4007
(201) 796-4080
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA05589800
NJ
Other
Enumeration date
12/18/2007
Last updated
07/29/2013
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