| Vista Pain Management, Llc | |
|
197 Ridgedale Ave Ste 225 Cedar Knolls NJ 07927-2111 | |
| (862) 260-4265 | |
| Not Available |
| Full Name | Vista Pain Management, Llc |
|---|---|
| Speciality | Pain Medicine - Pain Medicine |
| Location | 197 Ridgedale Ave Ste 225, Cedar Knolls, New Jersey |
| Authorized Official Name and Position | Terence Welsh (OWNER) |
| Authorized Official Contact | 9085919839 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vista Pain Management, Llc 197 Ridgedale Ave Ste 225 Cedar Knolls NJ 07927-2111 Ph: (862) 260-4265 | Vista Pain Management, Llc 197 Ridgedale Ave Ste 225 Cedar Knolls NJ 07927-2111 Ph: (862) 260-4265 |
| NPI Number | 1306611876 |
|---|---|
| Provider Enumeration Date | 11/15/2023 |
| Last Update Date | 11/15/2023 |
| Certification Date | 11/15/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306611876 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
| 208VP0000X | Pain Medicine - Pain Medicine | (* (Not Available)) | Primary |
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