Organization
PROVIDENCE PAIN MANAGEMENT CENTER, P.A.
Active
Other names
Innovative Pain Solutions Centers
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH OPPONG JR. M.D. (DIRECTOR/PRESIDENT)
(301) 755-9500
Entity
Organization
Contact information
Practice address
6911 LAUREL BOWIE RD, SUITE 212, BOWIE, MD 20715-1712
(301) 755-9500
(301) 747-6017
Mailing address
6911 LAUREL BOWIE RD, SUITE 212, BOWIE, MD 20715-1712
(301) 755-9500
(301) 747-6017
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
D0066706
MD
208VP0014X
Interventional Pain Medicine Physician
Primary
D0066706
MD
Other
Enumeration date
12/02/2014
Last updated
05/22/2024
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