# NOVA INTERVENTIONAL PAIN MANAGEMENT

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

## Provider details

- **NPI number:** 1821124215
- **Authorized official:** LINDA MARTINDALE (PRACTICE MANAGER)
- **Authorized official phone:** (443) 356-5968

## Contact information

- **Practice address:** 1952 PULASKI HWY, SUITE B, EDGEWOOD, MD 21040-1617
- **Practice address phone:** (410) 676-1463
- **Practice address fax:** (410) 676-0864
- **Mailing address:** PO BOX 489, CHURCHVILLE, MD 21028-0489

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | D0060705 | MD | Yes |

## Other

- **Enumeration date:** 02/27/2007
- **Last updated:** 10/11/2024