Organization
PAIN MANAGEMENT INSTITUTE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAY TENDLER MD (PRESIDENT)
(800) 738-1659
Entity
Organization
Contact information
Practice address
619 RIVER DR, ELMWOOD PARK, NJ 07407-1317
(614) 553-0964
Mailing address
PO BOX 986520, DEPT 160, BOSTON, MA 02298-6520
(207) 784-2554
(207) 777-1439
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0556505
—
NJ
Enumeration date
01/18/2011
Last updated
03/04/2025
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