Provider Demographics
NPI:1437322948
Name:PAIN MANAGEMENT SOLUTIONS, INC.
Entity type:Organization
Organization Name:PAIN MANAGEMENT SOLUTIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:H
Authorized Official - Last Name:KIM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:856-608-1130
Mailing Address - Street 1:239 TAUNTON BLVD STE A2
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:08055-3471
Mailing Address - Country:US
Mailing Address - Phone:856-608-1130
Mailing Address - Fax:856-608-7630
Practice Address - Street 1:239 TAUNTON BLVD STE A2
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:NJ
Practice Address - Zip Code:08055-3471
Practice Address - Country:US
Practice Address - Phone:856-608-1130
Practice Address - Fax:856-608-7630
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-04
Last Update Date:2024-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA068025002081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Single Specialty