Mountainside Pain Management PC
NPI #1477017929 in West Caldwell, New Jersey
Provider Information
- NPI Number
- 1477017929
- Entity Type
- Organization
- Organization Name
- Mountainside Pain Management PC
- Primary Specialty
- Anesthesiology - Pain Medicine
- Enumeration Date
- Jan 29, 2019
- Last Updated
- Apr 1, 2019
Practice Location
- Address
- 185 FAIRFIELD AVE STE 2A
- City
- West Caldwell
- State
- New Jersey
- ZIP Code
- 07006-6417
- Phone
- (973) 226-1230
Authorized Official
- Name
- DR. JOHN WALTON SECOY, MD
- Title
- PRESIDENT OF CORPORATION
- Phone
- (973) 226-1230
Specialties & Taxonomy Codes
| Specialty |
|---|
| Anesthesiology - Pain Medicine — Pain Medicine |
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