NPI 1063993103
Premier Pain Centers, LLC.
Practice location
- Address
- 150 Chambers Bridge Rd STE 201, Brick, NJ 08723-3491
- Phone
- (732) 458-0322
- Mailing address
- 11350 McCormick Rd Executive Plaza 1, STE. 501, Hunt Valley, MD 21031
Authorised official
- Name
- Michael William O'Hara
- Title
- DO
- Phone
- (732) 380-0200
Registered specialties
Interventional Pain Medicine Physician
Primary
Registry record
- NPI
- 1063993103
- Entity type
- Organization
- NPI issued
- 27 Aug 2018
- Record last updated
- 27 Aug 2018
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.