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1023281284
NJ PAIN REHABILITATION GROUP, PC
BAYONNE, NJ
NPI
1023281284
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Entity Type
Organization
Authorized Contact
ANTONIO CICCONE
Owner
973-751-2060
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NJ mb057523)
Enumeration Date
2008-04-09
Last Update Date
2008-10-02
Business Address
NJ PAIN REHABILITATION GROUP, PC
631 BROADWAY FIRST FLOOR
BAYONNE, NJ 07002
Phone number: 973-751-2060
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Mailing Address
NJ PAIN REHABILITATION GROUP, PC
885 BROADWAY PMB168 PMB168
BAYONNE, NJ 07002
Phone number: 973-751-2060
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