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Advanced Interventional Pain Consultants, LLC

Organization Active NPI Interventional Pain Medicine Physician · Clifton, NJ

NPI 1831446673 · NPPES record last updated Mar 13, 2019

Key facts

NPI
1831446673
Entity type
Organization (NPI type 2)
Primary specialty
Interventional Pain Medicine Physician 208VP0014X
License
25MA07077100 (NJ)
Legal business name
ADVANCED INTERVENTIONAL PAIN CONSULTANTS, LLC
Practice address
1081 Paulison Ave Ste 2B
Clifton, NJ 07011-3658
Phone
(973) 365-0008
Fax
(973) 365-0004
NPI assigned
Aug 11, 2012
Organization subpart
No

Authorized official

Name
Mohsen T Michail, M.D.
Title
Sole MBR
Phone
(973) 365-0008

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

National Provider Directory

Locations

1011 Clifton Ave
Ste 1G
Clifton, NJ 07013
Phone (973) 365-0008

1081 Paulison Ave
Ste 2B
Clifton, NJ 07011
Phone (973) 365-0008

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP		 208VP0014X 25MA07077100 NJ Yes

Addresses

Primary practice location

1081 Paulison Ave Ste 2B
Clifton, NJ 07011-3658

Mailing address

1081 Paulison Ave Ste 2B
Clifton, NJ 07011-3658
Phone (973) 365-0008

Other providers in Clifton, NJ

All providers in Clifton, NJ · Interventional Pain Medicine Physician in New Jersey

Sources for this page

Verify at the official NPI Registry.