Organization
SENSORY DIAGNOSTICS AND PAIN MANAGEMENT ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT W ROETMAN (MANAGING MEMBER)
(201) 497-6612
Entity
Organization
Contact information
Practice address
183 OLD TAPPAN RD STE 2, OLD TAPPAN, NJ 07675-7088
(201) 497-6612
Mailing address
183 OLD TAPPAN RD STE 2, OLD TAPPAN, NJ 07675-7088
(201) 497-6612
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
0400423183
NJ
Other
Enumeration date
07/15/2011
Last updated
07/15/2011
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