# BETHESDA PAIN MANAGEMENT LLC

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

## Provider details

- **NPI number:** 1568702124
- **Authorized official:** DR. MICHAEL JACH M.D. (MANAGING MEMBER)
- **Authorized official phone:** (301) 770-7900

## Contact information

- **Practice address:** 6000 EXECUTIVE BLVD, 510, N BETHESDA, MD 20852-3803
- **Practice address phone:** (301) 770-7900
- **Mailing address:** PO BOX 79794, BALTIMORE, MD 21279-0794
- **Mailing address phone:** (443) 274-2900
- **Mailing address fax:** (443) 274-2391

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | D0033495 | MD | Yes |

## Other

- **Enumeration date:** 02/19/2013
- **Last updated:** 02/19/2013