Organization
PAIN MANAGEMENT ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HADDIS T HAGOS M.D. (MEDICAL DIRECTOR)
(301) 220-2333
Entity
Organization
Contact information
Practice address
7300 HANOVER DR # 204, GREENBELT, MD 20770-2202
(301) 220-2333
(301) 220-2339
Mailing address
7300 HANOVER DR # 204, GREENBELT, MD 20770-2202
(301) 220-2333
(301) 220-2339
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
400891001
—
MD
Enumeration date
03/24/2009
Last updated
03/24/2009
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