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Organization

HEAD,NECK & BACK PAIN CENTER P.A.

Active
Other names
HEAD,NECK&BACK PAIN CENTER P.A.
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MITCHELL ROBERT SILVERMAN CHIROPRACTOR (CLINIC DIRECTOR)
(410) 665-6666
Entity
Organization

Contact information

Practice address
1703 E JOPPA RD, FIRST FLOOR, BALTIMORE, MD 21234-3638
(410) 665-6666
(410) 882-1264
Mailing address
1703 E JOPPA RD, FIRST FLOOR, BALTIMORE, MD 21234-3638
(410) 665-6666
(410) 882-1264

Taxonomy

Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
SO1450
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
52641
CHIROPRACTOR
MD
Enumeration date
05/07/2007
Last updated
02/15/2012
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