NPI 1295005122

Desio Pain Institute P.A.

Organisation Pain Medicine Physician Toms River, NJ

Practice location

Address: 452 Lakehurst Rd, Toms River, NJ 08755-6344
Phone: (732) 349-1053
Fax: (732) 349-9092
Mailing address: PO Box 1110, Wall, NJ 07719-1110

Authorised official

Name: Joann Tiedemann
Title: Billing Agent
Phone: (732) 257-5454

Registered specialties

Pain Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208VP0000X Licence 25MA06205300 (NJ)

Other Pain Medicine providers in New Jersey →

Registry record

NPI: 1295005122
Entity type: Organization
NPI issued: 10 Jan 2012
Record last updated: 18 Jan 2012

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.