NPI 1043965163

Pain Management & Rejuvenation Clinic USA

Organisation Pain Medicine (Anesthesiology) Physician Jersey City, NJ

Practice location

Address: 1209 Summit Ave Unit 102, Jersey City, NJ 07307-3170
Phone: (201) 714-4683
Fax: (201) 742-0084
Mailing address: 154 Orangeburgh Rd, Old Tappan, NJ 07675-7499

Authorised official

Name: Claricio Decastro Peguero
Title: Owner
Phone: (551) 204-2543

Registered specialties

Pain Medicine (Anesthesiology) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207LP2900X

Other Anesthesiology providers in New Jersey →

Registry record

NPI: 1043965163
Entity type: Organization
NPI issued: 16 Feb 2022
Record last updated: 15 Oct 2024

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.