Organization
GARDEN STATE PAIN AND RADIOLOGY CENTER 2, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUNITA MANN (MEDICAL DIRECTOR)
(732) 849-0077
Entity
Organization
Contact information
Practice address
1608 ROUTE 88 W, SUITE 102, BRICK, NJ 08724-3009
(732) 849-0077
Mailing address
PO BOX 397, WHITING, NJ 08759-0397
(732) 849-0077
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA06331000
NJ
Other
Enumeration date
06/17/2010
Last updated
05/03/2011
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