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Organization

PAIN MANAGEMENT CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JADAN H ABBASSI M.D. (OWNER)
(973) 253-3400
Entity
Organization

Contact information

Practice address
1618 MAIN AVE, CLIFTON, NJ 07011-2163
(973) 253-3400
(973) 253-3818
Mailing address
1618 MAIN AVE, CLIFTON, NJ 07011-2163
(973) 253-3400
(973) 253-3818

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
042526
MEDICARE
NJ
05
8607605
NJ
Enumeration date
10/30/2008
Last updated
10/30/2008
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