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Organization
ADVANCED PAIN SURGERY CENTER LLC
Active
Organization
ADVANCED PAIN SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KHALID A KAHLOON (CEO)
(502) 261-7200
Entity
Organization
Contact information
Practice address
12070 OLD LINE CTR STE 205, WALDORF, MD 20602-2567
(240) 629-3920
(240) 629-3921
Mailing address
1050 KEY PKWY STE 202, FREDERICK, MD 21702-4551
(240) 629-3990
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
12/28/2009
Last updated
12/10/2017
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