Organization
ACTIVE SPINE & REHAB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK MURRAY (DIRECTOR OF REVENUE CYCLE)
(410) 970-8190
Entity
Organization
Contact information
Practice address
802 CROMWELL PARK DR, GLEN BURNIE, MD 21061-2563
(410) 970-8190
(410) 313-8314
Mailing address
10753 BIRMINGHAM WAY, WOODSTOCK, MD 21163-1535
(410) 970-8190
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
09/23/2019
Last updated
09/23/2019
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