Organization
ADVANCED PAIN MANAGEMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOANA GOMES (CREDENTIALING MANAGER)
(240) 629-3982
Entity
Organization
Contact information
Practice address
5205 CHAIRMANS CT STE 201A, FREDERICK, MD 21703-2918
(240) 629-3939
(240) 629-3940
Mailing address
5205 CHAIRMANS CT STE 201A, FREDERICK, MD 21703-2918
(240) 629-3939
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
12/10/2017
Last updated
02/20/2026
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