Organization
NORTHERN VALLEY PAIN CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOELLEN GATELY (ACCT MANAGER)
(631) 732-7426
Entity
Organization
Contact information
Practice address
200 CLOSTER DOCK RD, CLOSTER, NJ 07624-1928
(877) 877-6900
Mailing address
200 CLOSTER DOCK RD, CLOSTER, NJ 07624-1928
(877) 877-6900
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
208VP0000X
Pain Medicine Physician
—
—
Other
Enumeration date
12/07/2007
Last updated
02/14/2008
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