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Organization

CHRONIC PAIN TREATMENT CENTERS

Active
Other names
Frederick Spine & Rehab
Organization subpart
No

Provider details

NPI number
Authorized official
GLORIA CORBIN (DIRECTOR OF FINANCE)
(301) 732-6300
Entity
Organization

Contact information

Practice address
8435 PROGRESS DR STE EE, FREDERICK, MD 21701-4981
(301) 624-5390
(301) 624-5393
Mailing address
8435 PROGRESS DR STE EE, FREDERICK, MD 21701-4981
(301) 624-5390
(301) 624-5393

Taxonomy

Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
261QP3300X
Pain Clinic/Center
10554640
MD

Other

Enumeration date
08/06/2012
Last updated
10/25/2024
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