Healthcare Provider Details

I. General information

NPI: 1720304462
Provider Name (Legal Business Name): DELAWARE CENTER FOR PAIN MANAGEMENT, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/19/2010
Last Update Date: 04/19/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1010 CONCORD AVE 101B
WILMINGTON DE
19802-3367
US

IV. Provider business mailing address

235 DEERFIELD RD
MORGANVILLE NJ
07751-2641
US

V. Phone/Fax

Practice location:
  • Phone: 609-760-1982
  • Fax: 732-972-2548
Mailing address:
  • Phone: 609-760-1982
  • Fax: 732-972-2548

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ROBERT NEIL PELMAN
Title or Position: MANAGING PARTNER
Credential: M.D.
Phone: 609-760-1982