Provider Demographics
NPI:1902279235
Name:CENTERS FOR INTEGRATED PAIN TREATMENT, PC
Entity Type:Organization
Organization Name:CENTERS FOR INTEGRATED PAIN TREATMENT, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:RAHM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-635-3981
Mailing Address - Street 1:663 PALISADE AVE
Mailing Address - Street 2:SUITE 205
Mailing Address - City:CLIFFSIDE PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07010-3012
Mailing Address - Country:US
Mailing Address - Phone:201-941-1353
Mailing Address - Fax:201-945-5936
Practice Address - Street 1:663 PALISADE AVE
Practice Address - Street 2:SUITE 205
Practice Address - City:CLIFFSIDE PARK
Practice Address - State:NJ
Practice Address - Zip Code:07010-3012
Practice Address - Country:US
Practice Address - Phone:201-941-1353
Practice Address - Fax:201-945-5936
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-09
Last Update Date:2015-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty