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Organization

CENTER FOR SPORTS AND REGENERATIVE ORTHOPEDICS, LLC

Active
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Organization

CENTER FOR SPORTS AND REGENERATIVE ORTHOPEDICS, LLC

Active
Other names
Pain and Wellness Center of Maryland, LLC
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MIRIAM RAZAQ M.D. (PHYSICIAN)
(240) 754-7954
Entity
Organization

Contact information

Practice address
601 POST OFFICE RD STE 2A, WALDORF, MD 20602
(240) 754-7954
(240) 754-7958
Mailing address
601 POST OFFICE RD STE 2A, WALDORF, MD 20602-1912
(240) 754-7954
(240) 754-7958

Taxonomy

Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
H67340
MD

Other

Enumeration date
12/23/2013
Last updated
04/08/2022
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