MEDICARE: FERRER PAIN MANAGEMENT AND ELECTRODIAGNOSTICS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2081P2900X	Pain Medicine (Physical Medicine & Rehabilitation) Physician

General Provider Information

NPI Number	:	1144846239
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FERRER PAIN MANAGEMENT AND ELECTRODIAGNOSTICS LLC

Provider Business Mailing Address
First Line	:	2080 WOOD RD
Second Line	:
City	:	SCOTCH PLAINS
State	:	NJ
Zip	:	07076-2642
Country	:	US
Telephone Number	:	201-962-9199
Fax Number	:	201-962-9198

Provider Business Practice Location Address
First Line	:	385 S MAPLE AVE STE 101
Second Line	:
City	:	GLEN ROCK
State	:	NJ
Zip	:	07452-1545
Country	:	US
Telephone Number	:	201-962-9199
Fax Number	:	201-962-9198

Authorized Official
Title or Position	:	OWNER
Name	:	DR. STEVEN M FERRER
Credential	:	MD
Telephone Number	:	732-771-6455

Provider Enumeration Date	:	06/24/2020
Last Update Date	:	10/30/2024

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