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BALTIMORE PAIN MANAGEMENT CENTER PA NPI 1356389845


NPI Information

NPI: 1356389845
Provider Name: BALTIMORE PAIN MANAGEMENT CENTER PA
Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

CLIA Number: 21D1026669

Address:
9106 PHILADELPHIA RD STE 108
BALTIMORE, MD
ZIP 21237
Phone: (410) 682-5040
Get Directions

BALTIMORE PAIN MANAGEMENT CENTER PA is an interventional pain medicine pain medicine in Baltimore, MD. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. BALTIMORE PAIN MANAGEMENT CENTER PA NPI is 1356389845. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

9106 PHILADELPHIA RD STE 108
BALTIMORE, MD
ZIP 21237-335
Phone: (410) 682-5040
Fax: (410) 682-5044

The provider's authorized official is Michael A. Gardyn .
The authorized official title is President and has the following contact phone number (410) 499-0082.

The CLIA number assigned to this NPI record is 21D1026669 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/4/2006 and was last updated on 2/13/2024.


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
1207LP2900XAnesthesiologyPain MedicineNo
22081P2900XPhysical Medicine & RehabilitationPain MedicineNo
3208VP0014XPain MedicineInterventional Pain MedicineYes

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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