# NOVUS PAIN MANAGEMENT - MARYLAND, LLC

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

## Provider details

- **NPI number:** 1316786189
- **Authorized official:** HEATHER ROBOSSON (PRACTICE MANAGER)
- **Authorized official phone:** (240) 727-3995

## Contact information

- **Practice address:** 9109 LIBERTY RD, RANDALLSTOWN, MD 21133-3521
- **Practice address phone:** (301) 722-0484
- **Practice address fax:** (833) 903-0130
- **Mailing address:** 157 BALTIMORE ST, CUMBERLAND, MD 21502-2472
- **Mailing address phone:** (301) 722-0484
- **Mailing address fax:** (833) 903-0130

## Taxonomy

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

## Other

- **Enumeration date:** 05/22/2024
- **Last updated:** 06/18/2024