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Organization

1ST MEDICAL PAIN MANAGEMENT SPECIALISTS

Active
Parent organization
1ST MEDICAL OF ANNAPOLIS, INC.
Other names
1st Medical Painrehab Center
Organization subpart
Yes

Provider details

NPI number
Legal business name
1ST MEDICAL OF ANNAPOLIS, INC.
Authorized official
ROSEMARY INGADO PHYSICIAN ASSISTANT (CLINICAL DIRECTOR)
(410) 956-6800
Entity
Organization

Contact information

Practice address
20 MAYO RD STE 201, EDGEWATER, MD 21037-1442
(410) 956-6800
(410) 956-6803
Mailing address
20 MAYO RD STE 201, EDGEWATER, MD 21037-1442
(410) 956-6800
(410) 956-6803

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
103TC1900X
Counseling Psychologist
1041C0700X
Clinical Social Worker
163WP0808X
Psychiatric/Mental Health Registered Nurse
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
261Q00000X
Clinic/Center
Primary
261QM0850X
Adult Mental Health Clinic/Center
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
363LP0808X
Psychiatric/Mental Health Nurse Practitioner

Other

Enumeration date
08/30/2021
Last updated
01/23/2022
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