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Organization
INTERVENTIONAL PAIN & SPINE CARE ASC LLC
Active
Organization
INTERVENTIONAL PAIN & SPINE CARE ASC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JULIET GYEBI-FOSTER MD (OWNER)
(301) 835-1110
Entity
Organization
Contact information
Practice address
3280 URBANA PIKE STE 207, IJAMSVILLE, MD 21754-9406
(301) 835-1110
(301) 874-3416
Mailing address
3280 URBANA PIKE STE 207, IJAMSVILLE, MD 21754-9406
(301) 835-1110
(301) 874-3416
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
261QP3300X
Pain Clinic/Center
—
—
Other
Enumeration date
06/20/2023
Last updated
10/03/2025
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