Organization
GREATER MARYLAND PAIN MANAGEMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANAK A VIDYARTHI (CEO)
(410) 672-2255
Entity
Organization
Contact information
Practice address
7845 OAKWOOD RD STE 201, GLEN BURNIE, MD 21061-4257
(410) 672-2255
Mailing address
1130 ANNAPOLIS RD STE 100, ODENTON, MD 21113-1622
(703) 347-1962
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Enumeration date
03/22/2024
Last updated
03/22/2024
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