Organization
CAPITAL PAIN MANAGEMENT & ANESTHESIA ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GIRIDHAR GOGINENI (DIRECTOR(FINANCE))
(301) 668-4403
Entity
Organization
Contact information
Practice address
701 CHARLES ST, CIVISTA MEDICAL CENTER, LA PLATA, MD 20646-5930
(800) 422-8585
(301) 934-6958
Mailing address
141 THOMAS JOHNSON DR STE 190, FREDERICK, MD 21702-4509
(301) 668-4403
(301) 668-4406
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
07/03/2006
Last updated
12/11/2007
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