Organization
PAIN RELIEF CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FELIX EDUARDO ROQUE MD (PRESIDENT)
(201) 662-5437
Entity
Organization
Contact information
Practice address
211 60TH STREET, WEST NEW YORK, NJ 07093
(201) 662-5437
(201) 662-7195
Mailing address
PO BOX 999, CLIFFSIDE PARK, NJ 07010-0999
(201) 662-5437
(201) 662-7195
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
25MA06482500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7067607
—
NJ
Enumeration date
09/15/2006
Last updated
08/22/2020
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