# INTERVENTIONAL PAIN AND SPINE CARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053934174
- **Authorized official:** DR. JULIET GYEBI-FOSTER MD (OWNER)
- **Authorized official phone:** (301) 874-3431

## Contact information

- **Practice address:** 3280 URBANA PIKE STE 207, IJAMSVILLE, MD 21754-9406
- **Practice address phone:** (508) 344-7263
- **Mailing address:** 3280 URBANA PIKE STE 207, IJAMSVILLE, MD 21754-9406
- **Mailing address phone:** (301) 874-3431
- **Mailing address fax:** (301) 874-3416

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | — |
| 207L00000X | Anesthesiology Physician | — | — | — |
| 207LA0401X | Addiction Medicine (Anesthesiology) Physician | — | NULL | — |
| 207LA0401X | Addiction Medicine (Anesthesiology) Physician | — | — | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |
| 208VP0000X | Pain Medicine Physician | — | NULL | — |
| 208VP0000X | Pain Medicine Physician | — | — | — |
| 208VP0014X | Interventional Pain Medicine Physician | — | NULL | — |
| 208VP0014X | Interventional Pain Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 05/22/2020
- **Last updated:** 10/03/2025