Provider Demographics
NPI:1104130673
Name:PAIN HEALING CENTER PC
Entity type:Organization
Organization Name:PAIN HEALING CENTER PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:VLADIMIR
Authorized Official - Middle Name:
Authorized Official - Last Name:ALHOV
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-762-6033
Mailing Address - Street 1:PO BOX 20824
Mailing Address - Street 2:
Mailing Address - City:LEHIGH VALLEY
Mailing Address - State:PA
Mailing Address - Zip Code:18002-0824
Mailing Address - Country:US
Mailing Address - Phone:973-762-6033
Mailing Address - Fax:973-762-6088
Practice Address - Street 1:749 IRVINGTON AVENUE
Practice Address - Street 2:
Practice Address - City:MAPLEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07040
Practice Address - Country:US
Practice Address - Phone:973-762-6033
Practice Address - Fax:973-762-6088
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-27
Last Update Date:2010-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA08703800208VP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain MedicineGroup - Single Specialty