Maryland Interventional Pain Management LLC

NPI #1356619803 in White Marsh, Maryland

Provider Information

NPI Number
1356619803
Entity Type
Organization
Organization Name
Maryland Interventional Pain Management LLC
Primary Specialty
Clinic/Center - Multi-Specialty
Enumeration Date
Dec 12, 2011
Last Updated
Dec 12, 2011

Practice Location

Address
5430 CAMPBELL BLVD
Address 2
SUITE 106
ZIP Code
21162-5500
Phone
(443) 725-4930

Authorized Official

Name
MARY MARTELLONI
Title
PRACTICE ADM
Phone
(865) 466-0650

Specialties & Taxonomy Codes

Specialty
Internal Medicine
Physical Medicine & Rehabilitation - Pain MedicinePain Medicine
Clinic/Center - Multi-SpecialtyMulti-Specialty

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