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Organization

FLAGSHIP PAIN MANAGEMENT AND REHABILITATION LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. WILLIAM E FREAS JR. SLP (CEO)
(301) 722-3215
Entity
Organization

Contact information

Practice address
157 BALTIMORE ST, SUITE 301, CUMBERLAND, MD 21502-2472
(301) 722-3215
(301) 722-1450
Mailing address
157 BALTIMORE ST, SUITE 200, CUMBERLAND, MD 21502-2472
(301) 722-3215
(301) 722-1450

Taxonomy

Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
261QR0400X
Rehabilitation Clinic/Center

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000
COMMERCIAL
MD
Enumeration date
11/29/2013
Last updated
11/29/2013
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