Organization
PROACTIVE PAIN AND NEUROLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS DANIEL DEY MD (OWNER)
(240) 522-0098
Entity
Organization
Contact information
Practice address
921 SETON DR, CUMBERLAND, MD 21502-1852
(240) 522-0098
(240) 522-0099
Mailing address
PO BOX 1602, CUMBERLAND, MD 21501-1602
(240) 522-0098
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
D0062211
MD
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006632753
UNITED HEALTHCARE
MD
01
—
630051
AETNA
—
05
—
999023200
—
MD
01
—
DL77
CAREFIRST
MD
Enumeration date
11/09/2017
Last updated
12/11/2020
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