Provider Demographics
NPI:1477943967
Name:ALL CITY PAIN MANAGEMENT P.C.
Entity Type:Organization
Organization Name:ALL CITY PAIN MANAGEMENT P.C.
Other - Org Name:ALL CITY PAIN MANAGEMENT P.C.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PAIN MANAGEMENT DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CLIFTON
Authorized Official - Middle Name:
Authorized Official - Last Name:BURT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-782-5811
Mailing Address - Street 1:51 SILLECK ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07013-1233
Mailing Address - Country:US
Mailing Address - Phone:973-782-5811
Mailing Address - Fax:
Practice Address - Street 1:51 SILLECK ST
Practice Address - Street 2:SUITE C
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07013-1233
Practice Address - Country:US
Practice Address - Phone:973-782-5811
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-04
Last Update Date:2015-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00703500111N00000X
NJ28MA008569300208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Multi-Specialty