Provider Demographics
NPI:1760694095
Name:ALLCARE MEDICAL AND PAIN MANAGEMENT GROUP PA
Entity Type:Organization
Organization Name:ALLCARE MEDICAL AND PAIN MANAGEMENT GROUP PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PHILIP
Authorized Official - Middle Name:C
Authorized Official - Last Name:POLLEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-855-7500
Mailing Address - Street 1:434 RAHWAY AVENUE
Mailing Address - Street 2:SUITE B
Mailing Address - City:WOODBRIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07095
Mailing Address - Country:US
Mailing Address - Phone:732-855-7500
Mailing Address - Fax:732-634-7923
Practice Address - Street 1:434 RAHWAY AVENUE
Practice Address - Street 2:SUITE B
Practice Address - City:WOODBRIDGE
Practice Address - State:NJ
Practice Address - Zip Code:07095
Practice Address - Country:US
Practice Address - Phone:732-855-7500
Practice Address - Fax:732-634-7923
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
088905Medicare ID - Type Unspecified