Provider Demographics
NPI:1003402330
Name:INTERGRATED PAIN MGMT
Entity Type:Organization
Organization Name:INTERGRATED PAIN MGMT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANGELO
Authorized Official - Middle Name:
Authorized Official - Last Name:CAPRIO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:551-285-4250
Mailing Address - Street 1:71 UNION AVE STE 210
Mailing Address - Street 2:
Mailing Address - City:RUTHERFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07070-1272
Mailing Address - Country:US
Mailing Address - Phone:551-285-4250
Mailing Address - Fax:201-460-3616
Practice Address - Street 1:71 UNION AVE STE 210
Practice Address - Street 2:
Practice Address - City:RUTHERFORD
Practice Address - State:NJ
Practice Address - Zip Code:07070-1272
Practice Address - Country:US
Practice Address - Phone:551-285-4250
Practice Address - Fax:201-460-3616
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-21
Last Update Date:2023-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty