Phoenix Pain Relief Centers, Pa

NPI 1265791255 - Family Medicine - 207Q00000X

NPI Details
NPI 1265791255
Enumeration Date 05/10/2012
Last Updated 05/10/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name RUDOLPH RUDOLPH
Position DIRECTOR
Phone (908) 378-5028
Fax (908) 378-5796
Practice Location
1000 GALLOPING HILL RD
SUITE 106
UNION NJ, 07083-7989, US
Phone (908) 378-5028
Fax (908) 378-5796
Business Location
1000 GALLOPING HILL RD
SUITE 106
UNION NJ, 07083-7989, US
Phone (908) 378-5028
Fax (908) 378-5796
Toxanomy
Taxonomy Code 207Q00000X
License State New Jersey
License Number 25MA04275000
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According to our database, Phoenix Pain Relief Centers, Pa NPI is 1265791255, taxonomy code is 207Q00000X and license number is 25MA04275000, license state is located at New Jersey. Phoenix Pain Relief Centers, Pa physically located at 1000 Galloping Hill Rd, Union NJ, 07083-7989. NPI Number 1033115704 has the healthcare provider type.

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1265791255 NPI number is provided on an as is basis without warranty of any kind. 1265791255 is maintained by the National Plan & Provider Enumeration System. The contents of Phoenix Pain Relief Centers, Pa are for informational purposes only.