Professional Pain Management Services Pa
LBN: Professional Pain Management Services Pa
Professional Pain Management Services Pa is an health care organization with primary practice located at 1060 Clifton Ave , Clifton NJ 07013-3638. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Pain Medicine, which is considered as the primary health care specialty.
Professional Pain Management Services Pa can be contacted via phone (973) 779-7361, or through Venkataraman, Ravi K via phone (973) 779-7361.
Contact Information
Primary practice address
1060 Clifton Ave
Clifton NJ 07013-3638
Phone: (973) 779-7361
Fax: (973) 779-7385
Website:
Authorized official contact:
Name: Venkataraman, Ravi K Doctor of Medicine (MD)
Phone: (973) 779-7361
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | 25MA06850700 | New Jersey |
Profile Details
| NPI number | 1194036111 |
|---|---|
| LBN Legal business name | Professional Pain Management Services Pa |
| DBA Doing business as | |
| Authorized official | Venkataraman, Ravi K Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 24th, 2010 |
| Last updated | Jun 24th, 2010 - about 14 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194036111 | NPPES |
| New Jersey | Other | 25MA06850700 | STATE LICENSE |
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