Organization
PAIN MANAGEMENT CENTER OF NEW ENGLAND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEF K. WANG M.D. (MEDICAL DIRECTOR)
(203) 248-1134
Entity
Organization
Contact information
Practice address
2440 WHITNEY AVE, HAMDEN, CT 06518-3222
(203) 248-1134
(203) 288-6132
Mailing address
2440 WHITNEY AVE, HAMDEN, CT 06518-3222
(203) 248-1134
(203) 288-6132
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
026896
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010026896CT02
ANTHEM BCBS
CT
01
—
1497217
CIGNA
CT
01
—
OV6331
HEALTHNET
CT
Enumeration date
04/12/2006
Last updated
04/20/2008
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