Provider Demographics
NPI:1629854187
Name:RESTORATIVE PAIN SOLUTIONS LLC
Entity Type:Organization
Organization Name:RESTORATIVE PAIN SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTIAN
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:WHITNEY
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:973-204-5383
Mailing Address - Street 1:500 W PUTNAM AVE STE 440
Mailing Address - Street 2:
Mailing Address - City:GREENWICH
Mailing Address - State:CT
Mailing Address - Zip Code:06830-6079
Mailing Address - Country:US
Mailing Address - Phone:203-992-1845
Mailing Address - Fax:203-992-1855
Practice Address - Street 1:500 W PUTNAM AVE STE 440
Practice Address - Street 2:
Practice Address - City:GREENWICH
Practice Address - State:CT
Practice Address - Zip Code:06830-6079
Practice Address - Country:US
Practice Address - Phone:203-992-1845
Practice Address - Fax:203-992-1855
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-31
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Single Specialty