Organization
SPINE MEDICINE AND REHAB
Active
Other names
SMART PAIN Mgmt
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IRA D KORNBLUTH (OWNER)
(443) 605-0500
Entity
Organization
Contact information
Practice address
826 WASHINGTON RD, SUITE 112, WESTMINSTER, MD 21157
(443) 605-0500
(866) 605-3654
Mailing address
826 WASHINGTON RD, SUITE 210, WESTMINSTER, MD 21157-5750
(443) 605-0500
(866) 605-3654
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6444390001
DME
MD
Enumeration date
10/19/2011
Last updated
10/19/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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