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Contact Information

COASTAL INTERVENTIONAL PAIN MANAGEMENT LLC
929 BOSTON POST RD
OLD SAYBROOK, CT06475-2143
 Phone: 203-296-2016
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

208VP0000X 72 Physician/Pain Management
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for COASTAL INTERVENTIONAL PAIN MANAGEMENT LLC · (Female)

NPI # 1245836444
Status Active
Credentials
Entity Individual
Enumeration date 12/11/2020
Last updated 12/11/2020 - About 5 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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