ADVANCED INTERVENTIONAL PAIN MANAGEMENT, P.C.; NPI #1093916546

Contact Information

ADVANCED INTERVENTIONAL PAIN MANAGEMENT, P.C.

2080 BRIDGEPORT AVE STE C
MILFORD, CT 06460

Phone: 203-876-8854
Fax: 203-876-2626
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Interventional Pain Medicine	208VP0014X	09	Physician/Interventional Pain Management

Indicates primary specialty

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NPI Profile & details for ADVANCED INTERVENTIONAL PAIN MANAGEMENT, P.C.

NPI # 1093916546

LBN Legal business name ADVANCED INTERVENTIONAL PAIN MANAGEMENT, P.C.

Authorized official JEFFREY CARRUTH - (MEDICAL DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 05/31/2007

Last updated 08/02/2018 - About 8 years ago

Identifiers

License #

041160

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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