Organization
MARYLAND INTERVENTIONAL PAIN MANAGEMENT, LLC
Active
Parent organization
MARYLAND INTERVENTIONAL PAIN MANAGEMENT, LLC
Other names
BALTIMORE PAIN RELIEF CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
MARYLAND INTERVENTIONAL PAIN MANAGEMENT, LLC
Authorized official
MR. TIMOTHY J GOBER DC (PRESIDENT)
(443) 725-4930
Entity
Organization
Contact information
Practice address
1147 S HANOVER ST, BALTIMORE, MD 21230-3717
(443) 725-4930
(443) 725-4933
Mailing address
5430 CAMPBELL BLVD, SUITE 106, WHITE MARSH, MD 21162-5500
(443) 725-4930
(443) 725-4933
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
3470
MD
208D00000X
General Practice Physician
Primary
60828
MD
363A00000X
Physician Assistant
3825
MD
363A00000X
Physician Assistant
3868
MD
Other
Enumeration date
05/07/2012
Last updated
05/07/2012
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