Provider Demographics
NPI:1841532280
Name:SOUTH JERSEY PAIN INSTITUTE, PC
Entity type:Organization
Organization Name:SOUTH JERSEY PAIN INSTITUTE, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KEITH
Authorized Official - Middle Name:D
Authorized Official - Last Name:STRENGER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:609-415-0415
Mailing Address - Street 1:1750 ZION RD
Mailing Address - Street 2:SUITE 210
Mailing Address - City:NORTHFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:08225-1844
Mailing Address - Country:US
Mailing Address - Phone:609-415-0415
Mailing Address - Fax:
Practice Address - Street 1:1750 ZION RD
Practice Address - Street 2:SUITE 210
Practice Address - City:NORTHFIELD
Practice Address - State:NJ
Practice Address - Zip Code:08225-1844
Practice Address - Country:US
Practice Address - Phone:609-415-0415
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-25
Last Update Date:2013-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA07667500207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Single Specialty