Organization
RIVERVIEW PAIN AND SPINE INSTITUTE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DINASH YANAMADULA MD (CEO)
(386) 316-0850
Entity
Organization
Contact information
Practice address
725 RIVER RD, SUITE 201, EDGEWATER, NJ 07020-1171
(609) 512-1690
Mailing address
123 FRANKLIN CORNER RD, SUITE 104, LAWRENCEVILLE, NJ 08648-2526
(609) 512-1690
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
25MA07339500
NJ
Other
Enumeration date
03/11/2015
Last updated
03/11/2015
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