NPI 1104130673

Pain Healing Center PC

Organisation Pain Medicine Physician Maplewood, NJ

Practice location

Address: 749 Irvington Avenue, Maplewood, NJ 07040
Phone: (973) 762-6033
Fax: (973) 762-6088
Mailing address: PO Box 20824, Lehigh Valley, PA 18002-0824

Authorised official

Name: Vladimir Alhov
Title: Owner
Phone: (973) 762-6033

Registered specialties

Pain Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208VP0000X Licence 25MA08703800 (NJ)

Other Pain Medicine providers in New Jersey →

Registry record

NPI: 1104130673
Entity type: Organization
NPI issued: 27 Jul 2010
Record last updated: 2 Aug 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.