Organization
ADVANCED SPINE AND PAIN CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY MARTELLONI MGR (MGR)
(410) 698-2665
Entity
Organization
Contact information
Practice address
92 THOMAS JOHNSON DR STE 205, FREDERICK, MD 21702-4403
(240) 815-5449
Mailing address
217 E CHURCHVILLE RD, BEL AIR, MD 21014-3825
(410) 698-2665
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
05/09/2022
Last updated
05/11/2022
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