Organization
GARDEN STATE SPINE AND PAIN CENTERS
Active
Organization
GARDEN STATE SPINE AND PAIN CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUKDEB DATTA M.D. (PRESIDENT)
(615) 479-4692
Entity
Organization
Contact information
Practice address
1010 CLIFTON AVE, SUITE 203, CLIFTON, NJ 07013-3519
(862) 335-9696
Mailing address
1 TREETOP CT, BERKELEY HEIGHTS, NJ 07922-2531
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
25MA08823500
NJ
Other
Enumeration date
03/30/2015
Last updated
03/30/2015
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