Organization
PACIFICA PM&R LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IVAN CHEN MD (OWNER)
(908) 412-0900
Entity
Organization
Contact information
Practice address
323 MAIN ST STE E, METUCHEN, NJ 08840-2476
(908) 412-0900
Mailing address
PO BOX 580, METUCHEN, NJ 08840-0580
(908) 412-0900
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
10/12/2023
Last updated
10/12/2023
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