# SUMMIT PAIN MANAGEMENT GROUP,INC

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

## Provider details

- **NPI number:** 1124302690
- **Authorized official:** DR. OLAKUNLE TAIWO M.D (PRESIDENT AND C.E.O.)
- **Authorized official phone:** (301) 996-9354

## Contact information

- **Practice address:** 603 REVOLUTION ST, HAVRE DE GRACE, MD 21078-3319
- **Practice address phone:** (410) 942-1015
- **Practice address fax:** (410) 942-1016
- **Mailing address:** 8056 IANS ALY, LAUREL, MD 20724-6133
- **Mailing address phone:** (301) 996-9354

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | D0050806 | MD | Yes |
| 251B00000X | Case Management Agency | D0050806 | MD | — |
| 261Q00000X | Clinic/Center | D0050806 | MD | — |

## Other

- **Enumeration date:** 10/03/2011
- **Last updated:** 10/03/2011