Organization
PROVIDENCE PAIN MANAGEMENT CENTER, P.A.
Active
Parent organization
PROVIDENCE PAIN MANAGEMENT CENTER, P.A.
Other names
Innovative Pain Solutions Centers
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROVIDENCE PAIN MANAGEMENT CENTER, P.A.
Authorized official
JOSEPH OPPONG JR. M.D. (PRESIDENT/DIRECTOR)
(301) 755-9500
Entity
Organization
Contact information
Practice address
201 PINE BLUFF RD, STE 1, SALISBURY, MD 21801-1401
(410) 268-2000
Mailing address
6911 LAUREL BOWIE RD, SUITE 212, BOWIE, MD 20715-1400
(301) 750-9500
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
03/07/2019
Last updated
05/22/2024
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