Organization
BALTIMORE PAIN MANAGEMENT CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL A. GARDYN D.O. (PRESIDENT)
(410) 499-0082
Entity
Organization
Contact information
Practice address
9106 PHILADELPHIA RD STE 108, BALTIMORE, MD 21237-4335
(410) 682-5040
(410) 682-5044
Mailing address
9106 PHILADELPHIA RD STE 108, BALTIMORE, MD 21237-4335
(410) 682-5040
(410) 682-5044
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
06/04/2006
Last updated
10/21/2024
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