Organization
SMART PAIN MANAGEMENT CONSULTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IRA D KORNBLUTH M.D,. (MEDICAL DIRECTOR)
(443) 605-0500
Entity
Organization
Contact information
Practice address
826 WASHINGTON RD, SUITE 112, WESTMINSTER, MD 21157
(443) 605-0500
(443) 605-0501
Mailing address
12607 BELMONT RIDGE RD, REISTERSTOWN, MD 21136-5674
(443) 605-0500
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/12/2011
Last updated
01/12/2011
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