Organization
GARDEN STATE SPORTS & PAIN MEDICINE, LLC
Active
Other names
Premier Pain and Spine Solutions, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TODD S. KOPPEL MD (PRESIDENT)
(914) 666-8866
Entity
Organization
Contact information
Practice address
721 CLIFTON AVE STE 2D, CLIFTON, NJ 07013-1880
(914) 666-8866
Mailing address
480 BEDFORD RD STE 4202, CHAPPAQUA, NY 10514-1716
(914) 666-8866
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
06/06/2018
Last updated
11/02/2020
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