Peninsula Pain Management, LLC

NPI #1952623282 in Salisbury, Maryland

Provider Information

NPI Number: 1952623282
Entity Type: Organization
Organization Name: Peninsula Pain Management, LLC
Primary Specialty: Specialist
Enumeration Date: Mar 1, 2010
Last Updated: Mar 1, 2010

Practice Location

Address: 106 MILFORD ST
Address 2: SUITE 105
City: Salisbury
State: Maryland
ZIP Code: 21804-6953
Phone: (443) 736-3755

Authorized Official

Name: DR. BRENT R FOX, M.D.
Title: PHYSICIAN
Phone: (443) 736-3755

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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