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1225409980
EASTERN STATES PAIN SPECIALISTS, LLC
MOUNT LAUREL, NJ
NPI
1225409980
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Entity Type
Organization
Authorized Contact
JEFFREY GORDON
Authorized Official
201-667-5568
Organization Subpart ?
Yes
Primary Taxonomy
208VP0000X Pain Medicine, Pain Medicine
Enumeration Date
2015-10-07
Last Update Date
2015-10-07
Business Address
EASTERN STATES PAIN SPECIALISTS, LLC
15000 MIDLANTIC DR
MOUNT LAUREL, NJ 08054-1573
Phone number: 856-855-5479
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Mailing Address
EASTERN STATES PAIN SPECIALISTS, LLC
PO BOX 4604
LANCASTER, PA 17604-4604
Phone number: 201-804-2800
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