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Organization

PAIN MEDICINE SPECIALISTS PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LOUIS PANLILIO M.D. (PRESIDENT)
(410) 825-6945
Entity
Organization

Contact information

Practice address
8322 BELLONA AVE, SUITE 330, TOWSON, MD 21204-2012
(410) 825-6945
(410) 825-8974
Mailing address
8322 BELLONA AVE, SUITE 330, TOWSON, MD 21204-2012
(410) 825-6945
(410) 825-8974

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
403875400
MD
Enumeration date
07/08/2006
Last updated
11/13/2009
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