Organization
JERSEY STATE PAIN MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUIS RAMIREZ-PACHECO M.D (MEDICAL DIRECTOR)
(201) 758-7530
Entity
Organization
Contact information
Practice address
404 32ND ST APT 1, UNION CITY, NJ 07087-3966
(201) 758-7530
(201) 758-7529
Mailing address
PO BOX 732, UNION CITY, NJ 07087-0732
(201) 758-7530
(201) 758-7529
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
25MA05052100
NJ
Other
Enumeration date
08/21/2014
Last updated
08/21/2014
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