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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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