Organization
PAIN RELIEF CENTER OF SOUTH JERSEY LLC
Active
Organization
PAIN RELIEF CENTER OF SOUTH JERSEY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY B BUCK MD/.RP.H. (HEAD PHYSICIAN)
(856) 255-5479
Entity
Organization
Contact information
Practice address
130 GAITHER DRIVE., MOUNT LAUREL, NJ 08054
(856) 722-7000
(866) 202-7134
Mailing address
1 APPLE ORCHARD ROAD 1, MOORESTOWN, NJ 08057
(856) 866-0711
(856) 793-9050
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Enumeration date
01/06/2015
Last updated
01/06/2015
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