Organization
NOVA INTERVENTIONAL PAIN MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA MARTINDALE (PRACTICE MANAGER)
(443) 356-5968
Entity
Organization
Contact information
Practice address
1952 PULASKI HWY, SUITE B, EDGEWOOD, MD 21040-1617
(410) 676-1463
(410) 676-0864
Mailing address
PO BOX 489, CHURCHVILLE, MD 21028-0489
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
D0060705
MD
Other
Enumeration date
02/27/2007
Last updated
10/11/2024
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