Maryland Brain Spine & Pain LLC

NPI #1043288376 in Bowie, Maryland

Provider Information

NPI Number: 1043288376
Entity Type: Organization
Organization Name: Maryland Brain Spine & Pain LLC
Primary Specialty: Neurological Surgery
Enumeration Date: Mar 11, 2006
Last Updated: Nov 29, 2018

Practice Location

Address: 4201 NORTHVIEW DR STE 101
City: Bowie
State: Maryland
ZIP Code: 20716-2644
Phone: (410) 266-2720

Authorized Official

Name: DR. BRIAN J SULLIVAN, M.D.
Title: PRESIDENT/PHYSICIAN
Phone: (410) 266-2720

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Neurological Surgery	207T00000X	Primary

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