Provider Demographics
NPI:1518224674
Name:EDWARD S MAGAZINER, MD, PA
Entity Type:Organization
Organization Name:EDWARD S MAGAZINER, MD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MEDICAL DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:S
Authorized Official - Last Name:MAGAZINER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-297-2600
Mailing Address - Street 1:2186 ROUTE 27
Mailing Address - Street 2:SUITE 2-D
Mailing Address - City:NORTH BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08902-1137
Mailing Address - Country:US
Mailing Address - Phone:732-297-2600
Mailing Address - Fax:732-297-5770
Practice Address - Street 1:2186 ROUTE 27
Practice Address - Street 2:SUITE 2-D
Practice Address - City:NORTH BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08902-1137
Practice Address - Country:US
Practice Address - Phone:732-297-2600
Practice Address - Fax:732-297-5770
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-13
Last Update Date:2012-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA05340000208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Single Specialty