Organization
ADVANCED & INTEGRATED PAIN MANAGEMENT, LLC
Active
Other names
Liberty Chiropractic & Physical Therapy Center at Randallstown
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUE ELLEN PODMIJERSKY D.C. (MANAGING MEMBER)
(443) 272-6763
Entity
Organization
Contact information
Practice address
8507 LIBERTY ROAD, SUITE L1, RANDALLSTOWN, MD 21133
(443) 272-6763
(443) 272-7834
Mailing address
P.O. BOX 298, SEVERNA PARK, MD 21146
(443) 272-6763
(443) 272-7834
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
S01679
MD
Other
Enumeration date
06/15/2010
Last updated
11/09/2016
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