Pain Treatment Centers of Maryland, LLC
NPI #1174917736 in Reisterstown, Maryland
Provider Information
- NPI Number
- 1174917736
- Entity Type
- Organization
- Organization Name
- Pain Treatment Centers of Maryland, LLC
- Primary Specialty
- Physical Medicine & Rehabilitation - Pain Medicine
- Enumeration Date
- Mar 22, 2015
- Last Updated
- Jan 29, 2016
Practice Location
- Address
- 116 WESTMINSTER PIKE
- Address 2
- SUITE 106
- City
- Reisterstown
- State
- Maryland
- ZIP Code
- 21136-1027
- Phone
- (410) 833-1011
Authorized Official
- Name
- TATYANA REZNIKOV, MD
- Title
- MBR
- Phone
- (410) 833-1101
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Medicine & Rehabilitation - Pain Medicine — Pain Medicine |
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