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PROVIDENCE PAIN MANAGEMENT CENTER NPI 1902364052


NPI Information

NPI: 1902364052
Provider Name: PROVIDENCE PAIN MANAGEMENT CENTER
Classification: Anesthesiology - 207LP2900X
Entity Type: Organization

Specialization: Pain Medicine

CLIA Number: 21D2047668

Address:
201 PINE BLUFF RD
STE 1
SALISBURY, MD
ZIP 21801
Phone: (410) 268-2000
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PROVIDENCE PAIN MANAGEMENT CENTER is a pain medicine anesthesiology in Salisbury, MD. The provider is an anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. PROVIDENCE PAIN MANAGEMENT CENTER NPI is 1902364052. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

201 PINE BLUFF RD
STE 1
SALISBURY, MD
ZIP 21801-401
Phone: (410) 268-2000

The provider's authorized official is Joseph Oppong .
The authorized official title is Principal and has the following contact phone number (301) 755-9500.

The CLIA number assigned to this NPI record is 21D2047668 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/7/2019 and was last updated on 11/18/2019.


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 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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