OrganizationActive
Advanced Pain Consultants, PA
NPI 1477697795 · Interventional Pain Medicine Physician · Marlton, NJ
Provider details
- NPI number
- 1477697795
- Entity type
- Organization
- Primary specialty
- Interventional Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Denise Jackson, Administrative Assistant(856) 489-9822
- License
- 25MB04736200 (NJ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1 Executive Drive
Suite 430
Marlton, NJ 08053-9572
Phone: (856) 489-9822
Fax: (856) 489-9877
Approximate (ZIP-level) locationGet directions
Mailing address
1 Executive Drive
Marlton, NJ 08053-9572
Registry dates
- Enumerated
- 2007-02-19
- Last updated
- 2024-09-17
- Certified
- 2024-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.