Organization
OLNEY PAIN CENTER
Active
Organization
OLNEY PAIN CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN LEVIN M.D. (PRESIDENT)
(301) 774-1622
Entity
Organization
Contact information
Practice address
3413 OLANDWOOD CT STE 103, OLNEY, MD 20832-1489
(301) 774-1622
(301) 774-0488
Mailing address
3413 OLANDWOOD CT STE 103, OLNEY, MD 20832-1489
(301) 774-1622
(301) 774-0488
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
140799
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001346300
—
MD
Enumeration date
04/20/2016
Last updated
04/20/2016
Update your record
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