# ATLANTIC INTERVENTIONAL PAIN MANAGEMENT

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

## Provider details

- **NPI number:** 1407184872
- **Authorized official:** HADDIJATOU SECKA OGUNSOLA M.D. (SOLE MANAGER)
- **Authorized official phone:** (410) 382-3013

## Contact information

- **Practice address:** 8109 RITCHIE HWY, PASADENA, MD 21122-6917
- **Practice address phone:** (410) 382-3013
- **Practice address fax:** (410) 590-8839
- **Mailing address:** 1424 ILLINOIS AVE, SEVERN, MD 21144-2643
- **Mailing address phone:** (410) 382-3013
- **Mailing address fax:** (410) 590-8839

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/24/2009
- **Last updated:** 02/05/2010