Whalio Doctors

NPI 1497291512

Premier Pain Management LLC

Organisation Interventional Pain Medicine Physician Clifton, NJ

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
Allopathic & Osteopathic Physicians Taxonomy 208VP0014X Licence 25MA68664 (NJ)

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.