Institute for Diagnosis & Treatment of Pain
NPI #1033227004 in Fair Lawn, New Jersey
Provider Information
- NPI Number
- 1033227004
- Entity Type
- Organization
- Organization Name
- Institute for Diagnosis & Treatment of Pain
- Primary Specialty
- Specialist
- Enumeration Date
- Aug 29, 2006
- Last Updated
- Aug 10, 2012
Practice Location
- Address
- 33-00 BROADWAY
- Address 2
- SUITE # 209
- City
- Fair Lawn
- State
- New Jersey
- ZIP Code
- 07410-4617
- Phone
- (201) 796-7666
Authorized Official
- Name
- MRS. MARINA PRAKHINA
- Title
- OFFICE MANAGER
- Phone
- (201) 796-7666
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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