Organization
NEUROLOGY AND PAIN MANAGEMENT, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLA MESH MD (MD)
(718) 218-9898
Entity
Organization
Contact information
Practice address
87 BERDAN AVE, SUITE B2, WAYNE, NJ 07470-3210
(973) 692-9631
(973) 692-7778
Mailing address
163 ELM ST, TENAFLY, NJ 07670-3032
(917) 359-8378
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
208981
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0068292
—
NY
05
—
2060979
—
NY
01
—
3099034
GHI PPO
NY
01
—
3953580
CIGNA
NY
01
—
606N01
BLUE CROSS BLUE SHEILD
NY
01
—
7675051
AETNA
NY
01
—
P3611393
OXFORD NJ
NJ
Enumeration date
05/24/2007
Last updated
04/20/2008
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