| Legacy Spine And Pain Management | |
|
9801 Georgia Ave Ste 339 Silver Spring MD 20902-5276 | |
| (301) 962-4278 | |
| Not Available |
| Full Name | Legacy Spine And Pain Management |
|---|---|
| Speciality | Physical Medicine & Rehabilitation - Pain Medicine |
| Location | 9801 Georgia Ave Ste 339, Silver Spring, Maryland |
| Authorized Official Name and Position | Alan Gonzalez-cota (CEO) |
| Authorized Official Contact | 3019624278 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Legacy Spine And Pain Management 20 Courthouse Sq Ste 204 Rockville MD 20850-2338 Ph: (301) 962-4278 | Legacy Spine And Pain Management 9801 Georgia Ave Ste 339 Silver Spring MD 20902-5276 Ph: (301) 962-4278 |
| NPI Number | 1134987340 |
|---|---|
| Provider Enumeration Date | 03/12/2024 |
| Last Update Date | 09/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134987340 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | (* (Not Available)) | Primary |
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