Organization
POTOMAC INSTITUTE OF PAIN MANAGEMENT AND PALLIATIVE CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLORIA CORBIN (DIRECTOR OF FINANCE)
(301) 732-6300
Entity
Organization
Contact information
Practice address
8435 PROGRESS DR STE EE, FREDERICK, MD 21701-4981
(301) 624-5390
Mailing address
8435 PROGRESS DR STE EE, FREDERICK, MD 21701-4981
(301) 624-5390
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QP3300X
Pain Clinic/Center
—
—
Other
Enumeration date
09/23/2022
Last updated
09/23/2022
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