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Organization

STRATEGIC PAIN MANAGEMENT LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANJALI PATEL DO (SOLE MBR)
(973) 779-7361
Entity
Organization

Contact information

Practice address
50 MOUNT PROSPECT AVE, SUITE 209, CLIFTON, NJ 07013-1900
(973) 779-7361
Mailing address
50 MOUNT PROSPECT AVE, SUITE 209, CLIFTON, NJ 07013-1900
(973) 779-7361

Taxonomy

Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
25MB08416900
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
25MB08416900
STATE LIC
NJ
Enumeration date
06/08/2016
Last updated
06/08/2016
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