Organization
DECK PAIN MANAGEMENT , LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARC LOEV M.D. (PHYSICIAN/OWNER)
(301) 881-7246
Entity
Organization
Contact information
Practice address
75 THOMAS JOHNSON DR, SUITE C, FREDERICK, MD 21702-4895
(301) 620-0012
(301) 620-9687
Mailing address
11921 ROCKVILLE PIKE, SUITE 505, ROCKVILLE, MD 20852-2737
(410) 265-7300
(410) 265-9533
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
308CCE
BLUE CROSS
MD
01
—
DE8894
RAILROAD MEDICARE
MD
01
—
K907
BLUE CROSS
MD
Enumeration date
06/09/2006
Last updated
02/19/2008
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