Provider Demographics
NPI:1518354943
Name:ADVANCED GLOBAL PAIN SPECIALISTS, LLC
Entity Type:Organization
Organization Name:ADVANCED GLOBAL PAIN SPECIALISTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HANG
Authorized Official - Middle Name:RAE
Authorized Official - Last Name:PAK
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:973-322-7246
Mailing Address - Street 1:200 S ORANGE AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07039-5817
Mailing Address - Country:US
Mailing Address - Phone:973-322-7246
Mailing Address - Fax:973-322-7791
Practice Address - Street 1:188 FRIES MILL RD
Practice Address - Street 2:
Practice Address - City:TURNERSVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08012-2015
Practice Address - Country:US
Practice Address - Phone:856-875-8000
Practice Address - Fax:856-875-8494
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-23
Last Update Date:2015-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty