Organization
GARRETT ANESTHESIA AND PAIN MANAGEMENT
Active
Parent organization
GARRETT ANESTHESIA AND PAIN MANAGEMENT
Other names
Gonzaga Comprehensive Rehabilitation
Organization subpart
Yes
Provider details
NPI number
Legal business name
GARRETT ANESTHESIA AND PAIN MANAGEMENT
Authorized official
DR. MELVIN GONZAGA MD (OWNER)
(240) 362-7128
Entity
Organization
Contact information
Practice address
957 NATIONAL HWY, LAVALE, MD 21502-7356
(240) 362-7718
(240) 362-7731
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
D0022148
MD
225100000X
Physical Therapist
24488
MD
225X00000X
Occupational Therapist
07532
WV
235Z00000X
Speech-Language Pathologist
07755
MD
Other
Enumeration date
06/20/2016
Last updated
12/16/2016
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