Pain Management Center
721 Clifton Ave., Suite 2D Clifton, New Jersey 07013
(973) 473-5752 Fax: (973) 473-2459
<< Pain Treatments
New Patient Forms
Download these forms:
Pain Questionnaire
Notification of Medical Insurance
Assignment of Benefits
Letter of Protection
Medical Benefit Disclosure Form
ABOUT US
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TREATMENTS
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CONTACT US
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PAIN CENTER LOCATION
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DISCLAIMER
Copyright © 2011
Pain Center
by Dr. Koppel,
Garden State Pain Management
. All rights reserved.