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AVICENNA MEDICAL ARTS, PLLC

Organization (NPI-2) Active

Pain Medicine, Interventional Pain Medicine

Provider Information

NPI Number
1639408461
Provider Type
Organization / Facility (NPI-2)
Status
Active

Contact & Location

Address
660 TENNENT RD SUITE 104, MANALAPAN, NJ, 077263163
Phone
(646) 522-3664
Fax
(732) 831-6171

Specialties & Taxonomies

Independent Medical Examiner License: NJ #25MA08792700
Anesthesiology License: NJ #25MA08792700
Pain Medicine, Interventional Pain Medicine Primary License: NJ #25MA08792700

All Addresses

MAILING

PO BOX 302

MANALAPAN, NJ, 077260302

(646) 522-3664

LOCATION

660 TENNENT RD SUITE 104

MANALAPAN, NJ, 077263163

(646) 522-3664