EASTERN STATES PAIN SPECIALISTS LIMITED NPI 1477937670

NPI Information

  • NPI: 1477937670
  • Provider Name: EASTERN STATES PAIN SPECIALISTS LIMITED
  • Classification: Pain Medicine - 208VP0014X
  • Specialization: Interventional Pain Medicine
  • Entity Type: Organization
  • Address: 15000 MIDLANTIC DR STE 102
    MOUNT LAUREL, NJ
    ZIP 08054
  • Phone: (856) 255-5479

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NPI Details

EASTERN STATES PAIN SPECIALISTS LIMITED is an interventional pain medicine pain medicine in Mount Laurel, NJ. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. EASTERN STATES PAIN SPECIALISTS LIMITED NPI is 1477937670. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

15000 MIDLANTIC DR STE 102
MOUNT LAUREL, NJ
ZIP 08054-573
Phone: (856) 255-5479
Fax: (856) 393-8481

The provider's authorized official is Scott Pello .
The authorized official title is Managing Partner and has the following contact phone number (856) 255-5479.

The enumeration date for this NPI number is 7/17/2015 and was last updated on 7/17/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208VP0014XPain MedicineInterventional Pain Medicine25MA08897600NEW JERSEYYes

What is NPI?

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This page was last updated on: 11/21/2025

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