Provider Demographics
NPI:1265213656
Name:TRISTATE PAIN MANAGEMENT
Entity type:Organization
Organization Name:TRISTATE PAIN MANAGEMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:APIGO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:908-917-4741
Mailing Address - Street 1:591 STUYVESANT AVE
Mailing Address - Street 2:
Mailing Address - City:IRVINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07111-2404
Mailing Address - Country:US
Mailing Address - Phone:973-375-9743
Mailing Address - Fax:888-850-5930
Practice Address - Street 1:591 STUYVESANT AVE
Practice Address - Street 2:
Practice Address - City:IRVINGTON
Practice Address - State:NJ
Practice Address - Zip Code:07111-2404
Practice Address - Country:US
Practice Address - Phone:973-375-9743
Practice Address - Fax:888-850-5930
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-11
Last Update Date:2024-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Single Specialty