Organization
PAIN DOCTORS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE BURDMAN DC (PARTNER)
(443) 768-8758
Entity
Organization
Contact information
Practice address
4300 BELAIR RD, SUITE A, BALTIMORE, MD 21206-6300
(443) 768-8758
Mailing address
4300 BELAIR RD, SUITE A, BALTIMORE, MD 21206-6300
(410) 325-7246
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0116572 00
—
MD
01
—
528855
MEDICARE GROUP
MD
Enumeration date
01/25/2016
Last updated
02/27/2017
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