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MARYLAND INTERVENTIONAL PAIN MANAGEMENT LLC NPI 1053670430


NPI Information

NPI: 1053670430
Provider Name: MARYLAND INTERVENTIONAL PAIN MANAGEMENT, LLC

Doing Business As: BALTIMORE PAIN RELIEF CENTER

Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
1147 S HANOVER ST
BALTIMORE, MD
ZIP 21230
Phone: (443) 725-4930
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MARYLAND INTERVENTIONAL PAIN MANAGEMENT, LLC is a general practice in Baltimore, MD. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee MARYLAND INTERVENTIONAL PAIN MANAGEMENT, LLC NPI is 1053670430. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Baltimore Pain Relief Center.

The provider's business location address is:

1147 S HANOVER ST
BALTIMORE, MD
ZIP 21230-717
Phone: (443) 725-4930
Fax: (443) 725-4933

The provider's authorized official is Timothy J Gober .
The authorized official title is President and has the following contact phone number (443) 725-4930.

The enumeration date for this NPI number is 5/7/2012 and was last updated on 5/7/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractor3470MARYLANDNo
2363A00000XPhysician Assistant3825MARYLANDNo
3363A00000XPhysician Assistant3868MARYLANDNo
4208D00000XGeneral Practice60828MARYLANDYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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