NPI 1194036111

Professional Pain Management Services PA

Organisation Interventional Pain Medicine Physician Clifton, NJ

Practice location

Address: 1060 Clifton Ave, Clifton, NJ 07013-3638
Phone: (973) 779-7361
Fax: (973) 779-7385
Mailing address: PO Box 1258, Clifton, NJ 07012-0758

Authorised official

Name: Ravi K Venkataraman
Title: Ceo
Phone: (973) 779-7361

Registered specialties

Interventional Pain Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208VP0014X Licence 25MA06850700 (NJ)

Other Pain Medicine providers in New Jersey →

Registry record

NPI: 1194036111
Entity type: Organization
NPI issued: 24 Jun 2010
Record last updated: 24 Jun 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.