Healthcare Provider Details

I. General information

NPI: 1356514715
Provider Name (Legal Business Name): L P CARES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/08/2008
Last Update Date: 04/17/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

TWO EIGHTH STREET
HAMMONTON NJ
08037-3347
US

IV. Provider business mailing address

PO BOX 702
BRIDGETON NJ
08302-0445
US

V. Phone/Fax

Practice location:
  • Phone: 888-985-2727
  • Fax:
Mailing address:
  • Phone: 856-451-9395
  • Fax: 856-451-8615

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number
License Number State

VIII. Authorized Official

Name: MILIND PATHARKAR
Title or Position: PRESIDENT
Credential: MD
Phone: 856-451-9395