Organization
PROVIDENCE PAIN MANAGEMENT CENTER, P.A.
Active
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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