OrganizationActive
Edison Spine & Pain Center LLC
NPI 1780174136 · Pain Clinic/Center · Edison, NJ
Provider details
- NPI number
- 1780174136
- Entity type
- Organization
- Primary specialty
- Pain Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Sukdeb Datta, President
- License
- 25MA08823500 (NJ)
Mailing address
940 Amboy Ave Ste 103
Edison, NJ 08837-2869
Registry dates
- Enumerated
- 2018-05-11
- Last updated
- 2018-05-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.