Organization
GARRETT ANESTHESIA AND PAIN MANAGEMENT
Active
Parent organization
GARRETT ANESTHESIA AND PAIN MANAGEMENT
Other names
Gonzaga Interventional Pain Management
Organization subpart
Yes
Provider details
NPI number
Legal business name
GARRETT ANESTHESIA AND PAIN MANAGEMENT
Authorized official
MELVIN R GONZAGA MD (OWNER)
(240) 362-7128
Entity
Organization
Contact information
Practice address
4 S BROADWAY, FROSTBURG, MD 21532-1708
(301) 689-3138
(301) 689-9561
Mailing address
957 NATIONAL HWY STE 3, LAVALE, MD 21502-7356
(240) 362-7128
(240) 362-7129
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
654131301
—
MD
Enumeration date
09/05/2024
Last updated
09/05/2024
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