OrganizationActive
Pain and Wellness Center
NPI 1639356942 · Interventional Pain Medicine Physician · Peabody, MA
Provider details
- NPI number
- 1639356942
- Entity type
- Organization
- Primary specialty
- Interventional Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Julien Vaisman, President(978) 826-7230
- License
- 71164 (MA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Suppliers
Practice location
10 Centennial Dr
East Entrance
Peabody, MA 01960-7900
Phone: (978) 826-7230
Approximate (ZIP-level) locationGet directions
Mailing address
10 Centennial Dr
Peabody, MA 01960-7900
Registry dates
- Enumerated
- 2008-01-29
- Last updated
- 2025-09-18
- Certified
- 2025-09-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.