| Phoenix Pain Relief Centers, Pa | |
|
1000 Galloping Hill Rd Suite 106 Union NJ 07083-7989 | |
| (908) 378-5028 | |
| (908) 378-5796 |
| Full Name | Phoenix Pain Relief Centers, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 1000 Galloping Hill Rd, Union, New Jersey |
| Authorized Official Name and Position | Rudolph Willis (DIRECTOR) |
| Authorized Official Contact | 9083785028 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Pain Relief Centers, Pa 1000 Galloping Hill Rd Suite 106 Union NJ 07083-7989 Ph: (908) 378-5028 | Phoenix Pain Relief Centers, Pa 1000 Galloping Hill Rd Suite 106 Union NJ 07083-7989 Ph: (908) 378-5028 |
| NPI Number | 1265791255 |
|---|---|
| Provider Enumeration Date | 05/10/2012 |
| Last Update Date | 05/10/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265791255 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 25MA04275000 (New Jersey) | Primary |
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