Provider Demographics
NPI:1508585886
Name:EASTWEST PAINCARE CENTER LLP
Entity Type:Organization
Organization Name:EASTWEST PAINCARE CENTER LLP
Other - Org Name:INTEGRATED PAINCARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TONY
Authorized Official - Middle Name:
Authorized Official - Last Name:JIANG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-809-9888
Mailing Address - Street 1:252 COLUMBIA TPKE
Mailing Address - Street 2:
Mailing Address - City:FLORHAM PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07932-1248
Mailing Address - Country:US
Mailing Address - Phone:973-822-3338
Mailing Address - Fax:973-822-8098
Practice Address - Street 1:252 COLUMBIA TPKE
Practice Address - Street 2:
Practice Address - City:FLORHAM PARK
Practice Address - State:NJ
Practice Address - Zip Code:07932-1248
Practice Address - Country:US
Practice Address - Phone:973-822-3338
Practice Address - Fax:973-822-8098
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-22
Last Update Date:2022-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty