Organization
CENTER FOR PAIN MANAGEMENT LLC
Active
Parent organization
ELITE SPINE AND PAIN PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ELITE SPINE AND PAIN PLLC
Authorized official
DR. SARETA COUBAROUS DO (ATTENDING PHYSICIAN)
(267) 879-9260
Entity
Organization
Contact information
Practice address
1030 KINGS HWY N, SUITE 200A, CHERRY HILL, NJ 08034-1907
(856) 779-7774
(856) 779-7787
Mailing address
1030 KINGS HWY N, SUITE 200A, CHERRY HILL, NJ 08034-1907
(856) 779-7774
(856) 779-7787
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
25MB 08055900
NJ
Other
Enumeration date
04/15/2013
Last updated
04/15/2013
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