Provider Demographics
NPI:1750755138
Name:COMPREHENSIVE PAIN SOLUTIONS OF NEW JERSEY, P.C.
Entity type:Organization
Organization Name:COMPREHENSIVE PAIN SOLUTIONS OF NEW JERSEY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:UCHE
Authorized Official - Middle Name:
Authorized Official - Last Name:ENEANYA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:856-334-9600
Mailing Address - Street 1:PO BOX 4160
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08034-0630
Mailing Address - Country:US
Mailing Address - Phone:856-334-9600
Mailing Address - Fax:
Practice Address - Street 1:1123 CAMPUS DR
Practice Address - Street 2:
Practice Address - City:MORGANVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07751-1261
Practice Address - Country:US
Practice Address - Phone:856-334-9600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-22
Last Update Date:2016-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA089006002081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Single Specialty