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Contact Information

PAIN MANAGEMENT ASSOCIATES OF GLASTONBURY LLC
394 W CENTER ST
MANCHESTER, CT06040-4735
 Phone: 860-759-0060
 Fax: 860-633-6041
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for PAIN MANAGEMENT ASSOCIATES OF GLASTONBURY LLC

NPI # 1881936029
LBN Legal business name PAIN MANAGEMENT ASSOCIATES OF GLASTONBURY LLC
Authorized official EWA GASZEK - (CREDENTIALING SUPERVISOR)
Entity Organization
Organization subpart 1 No
Enumeration date 03/26/2013
Last updated 03/26/2013 - About 13 years ago
Identifiers n/a
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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