Organization
MARYLAND PAIN AND SPINE CENTER, LLC
Active
Parent organization
MARYLAND PAIN AND SPINE CENTER, LLC
Other names
Maryland Pain and Spine Center, LLC, Maryland Pain and Spine Center, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MARYLAND PAIN AND SPINE CENTER, LLC
Authorized official
JANAI BASSLER (PRACTICE MANAGER)
(410) 751-7246
Entity
Organization
Contact information
Practice address
844 WASHINGTON RD STE 207, WESTMINSTER, MD 21157-6664
(410) 751-7246
(410) 751-8991
Mailing address
844 WASHINGTON RD STE 207, WESTMINSTER, MD 21157-6664
(410) 751-7246
(410) 751-8991
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
261QP3300X
Pain Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
031LP936
MEDICARE PIN
MD
Enumeration date
10/17/2019
Last updated
11/21/2019
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