White Marsh Healthcare Physical Medicine LLC
NPI #1063722700 in White Marsh, Maryland
Provider Information
- NPI Number
- 1063722700
- Entity Type
- Organization
- Organization Name
- White Marsh Healthcare Physical Medicine LLC
- Primary Specialty
- Physical Medicine & Rehabilitation
- Enumeration Date
- Oct 15, 2010
- Last Updated
- Aug 10, 2011
Practice Location
- Address
- 5430 CAMPBELL BLVD.
- Address 2
- STE. 106
- City
- White Marsh
- State
- Maryland
- ZIP Code
- 21162
- Phone
- (443) 600-5807
Authorized Official
- Name
- TIMOTHY GOBER
- Title
- OWNER
- Phone
- (443) 600-5807
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
| Internal Medicine |
| General Practice |
| Pain Medicine - Interventional Pain Medicine — Interventional Pain Medicine |
| Durable Medical Equipment & Medical Supplies |
| Physician Assistant |
| Physician Assistant - Medical — Medical |
| Physical Medicine & Rehabilitation |
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