Organization
NORTH JERSEY INTERVENTIONAL PAIN CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL CARUTHERS MD (PRESIDENT)
(862) 222-4629
Entity
Organization
Contact information
Practice address
408 MAIN ST STE 101D, BOONTON, NJ 07005-1799
(862) 222-4629
(973) 352-9519
Mailing address
PO BOX 429, MOUNTAIN LAKES, NJ 07046-0429
(862) 222-4629
(973) 352-9519
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
09/14/2018
Last updated
09/14/2018
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