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PENINSULA PAIN MANAGEMENT LLC NPI 1952623282


NPI Information

NPI: 1952623282
Provider Name: PENINSULA PAIN MANAGEMENT, LLC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
106 MILFORD ST
SUITE 105
SALISBURY, MD
ZIP 21804
Phone: (443) 736-3755
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PENINSULA PAIN MANAGEMENT, LLC is a specialist in Salisbury, MD. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. PENINSULA PAIN MANAGEMENT, LLC NPI is 1952623282. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

106 MILFORD ST
SUITE 105
SALISBURY, MD
ZIP 21804-953
Phone: (443) 736-3755
Fax: (410) 860-2101

The provider's authorized official is Brent R Fox .
The authorized official title is Physician and has the following contact phone number (443) 736-3755.

The enumeration date for this NPI number is 3/1/2010 and was last updated on 3/1/2010.


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
1174400000XSpecialistD0035246MARYLANDYes

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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