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Organization
PAIN TREATMENT CENTERS OF MARYLAND, LLC
Active
Organization
PAIN TREATMENT CENTERS OF MARYLAND, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TATYANA REZNIKOV MD (MBR)
(410) 833-1101
Entity
Organization
Contact information
Practice address
116 WESTMINSTER PIKE, SUITE 106, REISTERSTOWN, MD 21136-1027
(410) 833-1011
(410) 833-1680
Mailing address
116 WESTMINSTER PIKE, SUITE 106, REISTERSTOWN, MD 21136-1027
(410) 833-1011
(410) 833-1680
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
NULL
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Enumeration date
03/22/2015
Last updated
01/29/2016
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