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Organization
1ST MEDICAL PAIN MANAGEMENT SPECIALISTS
Active
Organization
1ST MEDICAL PAIN MANAGEMENT SPECIALISTS
Active
Parent organization
1ST MEDICAL OF ANNAPOLIS, INC.
Other names
1st Medical Painrehab Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
1ST MEDICAL OF ANNAPOLIS, INC.
Authorized official
ROSEMARY INGADO PHYSICIAN ASSISTANT (CLINICAL ADMINISTRATOR)
(410) 956-6800
Entity
Organization
Contact information
Practice address
5620 SAINT BARNABAS RD STE 340, OXON HILL, MD 20745-3628
(301) 747-4224
(410) 956-6803
Mailing address
20 MAYO RD STE 201, EDGEWATER, MD 21037-1442
(410) 956-6800
(410) 956-6803
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
—
NULL
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
NULL
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
261QP3300X
Pain Clinic/Center
—
NULL
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
—
NULL
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
NULL
Other
Enumeration date
08/09/2021
Last updated
01/23/2022
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