PROGRESSIVE PAIN MANAGEMENT LLC
Osteopathic Medicine at Ocean Blvd, West End, NJ

License number
New Jersey 25MA08847600
Category
Osteopathic Medicine
Type
Pain Medicine
Owner
Name: DR. BRIAN ALWIN BANNISTER MD
Title: CEO/MEMBER
Phone: (347) 424-6157
Address
Address
432 Ocean Blvd, West End, NJ 07740
National Provider ID: 1326477985
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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