# CENTER FOR SPORTS AND REGENERATIVE ORTHOPEDICS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pain and Wellness Center of Maryland, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225459936
- **Authorized official:** DR. MIRIAM RAZAQ M.D. (PHYSICIAN)
- **Authorized official phone:** (240) 754-7954

## Contact information

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

## Taxonomy

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

## Other

- **Enumeration date:** 12/23/2013
- **Last updated:** 04/08/2022