| |
4000 Old Court Rd, Ste 105, Pikesville, MD 21208-2800 | |
(443) 725-4930 | |
(443) 682-9224 |
Full Name | |
---|---|
Type | Facility |
Speciality | Pain Medicine - Interventional Pain Medicine |
Location | 4000 Old Court Rd, Pikesville, Maryland |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528432721 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | (* (Not Available)) | Secondary |
208VP0014X | Pain Medicine - Interventional Pain Medicine | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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5430 Campbell Blvd, Ste 106, White Marsh, MD 21162-5500 Ph: (443) 725-4930 | 4000 Old Court Rd, Ste 105, Pikesville, MD 21208-2800 Ph: (443) 725-4930 |