Organization
ENGLEWOOD PAIN GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAIME GUTIERREZ M.D. (OWNER)
(917) 679-3435
Entity
Organization
Contact information
Practice address
25 ROCKWOOD PL STE 105, ENGLEWOOD, NJ 07631-4958
(917) 679-3435
Mailing address
25 ROCKWOOD PL STE 105, ENGLEWOOD, NJ 07631-4958
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
05/14/2016
Last updated
05/14/2016
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