Whalio Doctors

NPI 1700336450

South Jersey Pain Consultants LLC

Organisation Non-Pharmacy Dispensing Site Marlton, NJ

Practice location

Address
525 Route 73 S Suite 103, Marlton, NJ 08053-9642
Phone
(856) 464-5777

Authorised official

Name
Vincent Padula
Title
Managing Member
Phone
(856) 797-5777

Registered specialties

Non-Pharmacy Dispensing Site Primary
Suppliers Taxonomy 332900000X Licence MB67388 (NJ)

Registry record

NPI
1700336450
Entity type
Organization
NPI issued
6 Oct 2016
Record last updated
21 Nov 2016

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.