Organization
MARYLAND INTERVENTIONAL PAIN MANAGEMENT, LLC
Active
Other names
Baltimore Pain Relief Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY J GOBER DC (OWNER)
(443) 725-4930
Entity
Organization
Contact information
Practice address
5430 CAMPBELL BLVD, SUITE 106, WHITE MARSH, MD 21162-5500
(443) 725-4930
(443) 725-4933
Mailing address
5430 CAMPBELL BLVD, SUITE 106, WHITE MARSH, MD 21162-5500
(443) 725-4930
(443) 725-4933
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
3470
MD
207R00000X
Internal Medicine Physician
73023
MD
208D00000X
General Practice Physician
20215
MD
208D00000X
General Practice Physician
Primary
60828
MD
363A00000X
Physician Assistant
3824
MD
363A00000X
Physician Assistant
3868
MD
Other
Enumeration date
11/10/2011
Last updated
04/30/2012
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