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Contact Information

PAIN ASSOCIATES OF BERGEN COUNTY LLC
294 STATE STREET
SUITE 2
HACKENSACK, NJ07601
 Phone: 201-525-0002
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
Indicates primary specialty

NPI Profile & details for PAIN ASSOCIATES OF BERGEN COUNTY LLC

NPI Number 1720592942
LBN Legal business name PAIN ASSOCIATES OF BERGEN COUNTY LLC
Authorized official SAMYADEV DATTA - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/27/2017
Last updated 05/10/2018 - About 8 years ago
Identifiers
NJ License # 25MA07161100
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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