NPI 1003279506

Advanced Spine and Pain Center LLC

Organisation Pain Clinic/Center Newark, NJ

Practice location

Address: 1060 Broad Street, Newark, NJ 07102
Phone: (615) 472-4692
Mailing address: 1 Treetop CT, Berkeley Heights, NJ 07922

Authorised official

Name: Sukdeb Datta
Title: Manager
Phone: (615) 479-4692

Registered specialties

Pain Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QP3300X Licence 25MA08823500 (NJ)

Other Clinic/Center providers in New Jersey →

Registry record

NPI: 1003279506
Entity type: Organization
NPI issued: 1 Apr 2016
Record last updated: 1 Apr 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.