Organization
ADVANCED PAIN THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCELLO SAMMARONE MD (OWNER)
(973) 294-6228
Entity
Organization
Contact information
Practice address
1130 ROUTE 46 WEST, SUITE 1, PARSIPPANY, NJ 07054
(973) 294-6228
(973) 917-3174
Mailing address
1130 ROUTE 46 WEST, SUITE 1, PARSIPPANY, NJ 07054
(973) 294-6228
(973) 917-3174
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
25MA05745200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7918909
—
NJ
Enumeration date
01/28/2011
Last updated
07/07/2014
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