Provider Demographics
NPI:1073792677
Name:PARKVIEW CENTER FOR PAIN MANAGEMENT INC.
Entity Type:Organization
Organization Name:PARKVIEW CENTER FOR PAIN MANAGEMENT INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:PHILIP
Authorized Official - Middle Name:CURTIS
Authorized Official - Last Name:POLLEN
Authorized Official - Suffix:SR
Authorized Official - Credentials:MD
Authorized Official - Phone:732-553-9400
Mailing Address - Street 1:3 ATHENS AVE
Mailing Address - Street 2:
Mailing Address - City:SOUTH AMBOY
Mailing Address - State:NJ
Mailing Address - Zip Code:08879-2401
Mailing Address - Country:US
Mailing Address - Phone:732-553-9400
Mailing Address - Fax:732-553-1036
Practice Address - Street 1:3 ATHENS AVE
Practice Address - Street 2:
Practice Address - City:SOUTH AMBOY
Practice Address - State:NJ
Practice Address - Zip Code:08879-2401
Practice Address - Country:US
Practice Address - Phone:732-553-9400
Practice Address - Fax:732-553-1036
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-31
Last Update Date:2009-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA04642400208VP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ096892Medicare PIN