OrganizationActive
Eastern States Pain Specialists Limited
NPI 1477937670 · Interventional Pain Medicine Physician · Mount Laurel, NJ
Provider details
- NPI number
- 1477937670
- Entity type
- Organization
- Primary specialty
- Interventional Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Scott Pello, Managing Partner(856) 255-5479
- License
- 25MA08897600 (NJ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
15000 Midlantic Dr Ste 102
Mount Laurel, NJ 08054-1573
Phone: (856) 255-5479
Fax: (856) 393-8481
Approximate (ZIP-level) locationGet directions
Mailing address
15000 Midlantic Dr Ste 102
Mount Laurel, NJ 08054-1573
Registry dates
- Enumerated
- 2015-07-17
- Last updated
- 2015-07-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.