Organization
ATLANTIC REHABILITATION CENTERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL S KORANGY (CFO)
(410) 455-9690
Entity
Organization
Contact information
Practice address
405 FREDERICK RD, SUITE 200, BALTIMORE, MD 21228-4645
(410) 455-9690
(410) 764-0947
Mailing address
6030 DAYBREAK CIR, SUITE A150/337, CLARKSVILLE, MD 21029-1642
(410) 455-9690
(410) 764-0647
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
223306100
—
MD
Enumeration date
12/17/2010
Last updated
01/30/2012
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