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Advanced Spine and Pain Center LLC — NPI 1003279506, Newark, NJ | NPI Central

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Advanced Spine and Pain Center LLC

NPI 1003279506 · Pain Clinic/Center · Newark, NJ

Provider details

NPI number: 1003279506
Entity type: Organization
Primary specialty: Pain Clinic/CenterAmbulatory Health Care Facilities
Authorized official: Sukdeb Datta, Manager
License: 25MA08823500 (NJ)

Practice location

1060 Broad Street

Newark, NJ 07102

Phone: (615) 472-4692

More NJ providers

Mailing address

1 Treetop Ct

Berkeley Heights, NJ 07922

Registry dates

Enumerated: 2016-04-01
Last updated: 2016-04-01

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.