Organization
SPINE AND REHABILITATION PHYSICIANS, P.A.
Active
Organization
SPINE AND REHABILITATION PHYSICIANS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAURICIO JAVIER ACEBEY M.D. (MANAGING OWNER)
(404) 668-7920
Entity
Organization
Contact information
Practice address
5500 KNOLL NORTH DR, SUITE 235, COLUMBIA, MD 21045-2370
(443) 542-0932
(443) 542-0983
Mailing address
PO BOX 62812, BALTIMORE, MD 21264-2812
(866) 588-3588
(770) 836-8636
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
D63675
MD
208VP0000X
Pain Medicine Physician
D63675
MD
208VP0014X
Interventional Pain Medicine Physician
Primary
D63675
MD
Other
Enumeration date
10/01/2012
Last updated
12/26/2013
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