| Nj Pain Rehabilitation Group, Pc | |
|
631 Broadway First Floor Bayonne NJ 07002 | |
| (973) 751-2060 | |
| Not Available |
| Full Name | Nj Pain Rehabilitation Group, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 631 Broadway, Bayonne, New Jersey |
| Authorized Official Name and Position | Antonio Ciccone (OWNER) |
| Authorized Official Contact | 9737512060 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nj Pain Rehabilitation Group, Pc 885 Broadway Pmb168 Pmb168 Bayonne NJ 07002 Ph: (973) 751-2060 | Nj Pain Rehabilitation Group, Pc 631 Broadway First Floor Bayonne NJ 07002 Ph: (973) 751-2060 |
| NPI Number | 1023281284 |
|---|---|
| Provider Enumeration Date | 04/09/2008 |
| Last Update Date | 10/02/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023281284 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MB057523 (New Jersey) | Primary |
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