Provider Demographics
NPI:1912130758
Name:GARDEN STATE PAIN CONTROL CENTER
Entity Type:Organization
Organization Name:GARDEN STATE PAIN CONTROL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ANESTHESIOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:BINOD
Authorized Official - Middle Name:P
Authorized Official - Last Name:SINHA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-777-5444
Mailing Address - Street 1:1117 ROUTE 46
Mailing Address - Street 2:SUITE 206
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07013-2449
Mailing Address - Country:US
Mailing Address - Phone:973-777-5444
Mailing Address - Fax:973-777-5444
Practice Address - Street 1:1117 ROUTE 46
Practice Address - Street 2:SUITE 206
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07013-2449
Practice Address - Country:US
Practice Address - Phone:973-777-5444
Practice Address - Fax:973-777-5444
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-27
Last Update Date:2009-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MP00152700363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Single Specialty