Pain Medicine Vi, PLLC
in Christiansted, VI. Organization (NPI-2).
NPI number1164094223
StatusActive
Last updated in NPPESJan 31, 2023
Details
- NPI
- 1164094223
- Entity type
- Organization (NPI-2)
- Legal business name
- Pain Medicine Vi, PLLC
- Organization subpart
- No
- Enumeration date
- Jul 16, 2021
- Certification date
- Jan 31, 2023
- Last updated
- Jan 31, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208VP0000X | – | – | Yes |
Practice location
4003 Beston Hill MedicalSte 4
Christiansted, VI 00820
Phone 340-474-9440 · Fax 954-493-8889
Mailing address
4003 Beston Hill MedicalSte 4
Christiansted, VI 00820
Phone 340-474-9440 · Fax 954-493-8889
Authorized official
Jack M. Goloff
Physician, Owner
9544939449
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