Organization
INTERVENTIONAL PAIN MANAGEMENT & REHAB. PC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NASAR M SHAHID MD (OWNER)
(631) 697-4358
Entity
Organization
Contact information
Practice address
179 CEDAR LN STE F, TEANECK, NJ 07666-4304
(201) 907-5094
(201) 907-0031
Mailing address
179 CEDAR LN STE F, TEANECK, NJ 07666-4304
(201) 907-5094
(201) 907-0031
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
38MC00468200
NJ
208100000X
Physical Medicine & Rehabilitation Physician
216092
NY
208100000X
Physical Medicine & Rehabilitation Physician
Primary
25MA07393900
NJ
2081P0004X
Spinal Cord Injury Medicine Physician
216092
NY
2081P0004X
Spinal Cord Injury Medicine Physician
25MA070393900
NJ
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
216092
NY
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
25MA07393900
NJ
Other
Enumeration date
01/04/2010
Last updated
05/23/2012
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