Organization
MILLENNIUM PAIN MANAGEMENT CENTER PA
Active
Organization
MILLENNIUM PAIN MANAGEMENT CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAMAL M DIAB M.D. (PRESIDENT)
(973) 219-2532
Entity
Organization
Contact information
Practice address
14 RIDGEDALE AVE, SUITE 120, CEDAR KNOLLS, NJ 07927-1106
(973) 219-2532
Mailing address
PO BOX 569, DENVILLE, NJ 07834-0569
(973) 219-2532
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MA47466
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070094
MEDICARE GROUP
NJ
Enumeration date
10/15/2007
Last updated
12/20/2010
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up