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Organization

MARYLAND PAIN MANAGEMENT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BETH LEVIN (OFFICE MANAGER)
(610) 716-9680
Entity
Organization

Contact information

Practice address
16005 COMPRINT CIR, GAITHERSBURG, MD 20877-1318
(240) 751-8829
Mailing address
3 N 2ND ST FL 3, PHILADELPHIA, PA 19106-2299
(610) 716-9680

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1528056165
NPI
PA
Enumeration date
07/15/2021
Last updated
07/15/2021
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