Organization
SMART PAIN MANAGEMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRA KORNBLUTH M.D. (CEO)
(443) 693-7246
Entity
Organization
Contact information
Practice address
19851 OBSERVATION DR., SUITE 360, GERMANTOWN, MD 20876
(443) 693-7246
Mailing address
2 PARK CENTER CT, SUITE 200, OWINGS MILLS, MD 21117-4295
(443) 693-7246
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Enumeration date
07/30/2015
Last updated
05/26/2016
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