NPI 1497291512
Premier Pain Management LLC
Practice location
- Address
- 1060 Clifton Ave, Clifton, NJ 07013-3638
- Phone
- (973) 779-7246
- Fax
- (973) 779-8989
- Mailing address
- PO Box 4224, Clifton, NJ 07012-9998
Authorised official
- Name
- Shanti S Eppanapally
- Title
- Owner
- Phone
- (972) 941-2961
Registered specialties
Interventional Pain Medicine Physician
Primary
Registry record
- NPI
- 1497291512
- Entity type
- Organization
- NPI issued
- 12 Jan 2017
- Record last updated
- 12 Jan 2017
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.