Registry details
Type
Individual
Primary specialty
Anesthesiology, Pain Medicine
Enumerated
May 30, 2018
License(s)
25MA11985800 (NJ), 25MA11985800 (NJ), 25MA11985800 (NJ)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 500 UNIVERSITY DR | Hershey, PA 17033-2360 | 800-243-1455 |
| LOCATION | 1000 W MAIN ST STE 201 | Freehold, NJ 07728-2521 | 609-890-4080 |
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