Organization · Type 2 NPI

Modern Spine and Pain PC

Pain Medicine Physician · West Deptford, NJ

NPI number 1174240352 Active

Practice location

196 Grove Ave Ste E
West Deptford, NJ 08086-2139

Mailing address

PO Box 358
Douglassville, PA 19518-0358

Specialties and licenses

TaxonomyCodeLicense
Specialist 174400000XNone listed
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900XNone listed
Pain Medicine Physician Primary 208VP0000XNone listed
Interventional Pain Medicine Physician 208VP0014XNone listed

Pain Medicine Physician: Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contri…

2 other providers at this address

About NPI 1174240352

Modern Spine and Pain PC's National Provider Identifier is 1174240352, issued on Oct 27, 2022. The primary taxonomy on file is Pain Medicine Physician (208VP0000X), and the practice location is in West Deptford, NJ. The record was last updated on Oct 1, 2026.