Organization
GARRETT ANESTHESIA AND PAIN MANAGEMENT
Active
Other names
Gonzaga Interventional Pain Management
Organization subpart
No
Provider details
NPI number
Authorized official
MELVIN R GONZAGA MD (OWNER)
(240) 362-7128
Entity
Organization
Contact information
Practice address
957 NATIONAL HWY, LAVALE, MD 21502
(240) 362-7128
(240) 362-7129
Mailing address
957 NATIONAL HWY, LAVALE, MD 21502-7356
(240) 362-7128
(240) 362-7129
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
D222148
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
961521100
—
MD
Enumeration date
10/04/2006
Last updated
09/04/2018
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