NPI 1023336377
Interventional Pain Medicine of New Jersey, LLC
Practice location
- Address
- 680 Kinderkamack Rd, Oradell, NJ 07649-1600
- Phone
- (201) 487-7246
- Mailing address
- PO Box 95000 Cl # 4430, Philadelphia, PA 19195-4430
Authorised official
- Name
- Kenneth Park
- Title
- Medical Director
- Phone
- (201) 487-7246
Registered specialties
Interventional Pain Medicine Physician
Primary
Registry record
- NPI
- 1023336377
- Entity type
- Organization
- NPI issued
- 12 May 2010
- Record last updated
- 12 May 2010
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.