Organization
SMART PAIN MANAGEMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRA KORNBLUTH MD (MEDICAL DIRECTOR)
(443) 693-7246
Entity
Organization
Contact information
Practice address
7920 MCDONOGH RD, SUITE 201, OWINGS MILLS, MD 21117-5273
(443) 693-7246
Mailing address
7920 MCDONOGH RD, SUITE 201, OWINGS MILLS, MD 21117-5273
(443) 693-7246
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
D0061293
MD
Other
Enumeration date
03/26/2014
Last updated
08/07/2015
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