Organization
PENINSULA PAIN MANAGEMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENT R FOX M.D. (PHYSICIAN)
(443) 736-3755
Entity
Organization
Contact information
Practice address
106 MILFORD ST, SUITE 105, SALISBURY, MD 21804-6953
(443) 736-3755
(410) 860-2101
Mailing address
106 MILFORD ST, SUITE 105, SALISBURY, MD 21804-6953
(443) 736-3755
(410) 860-2101
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D0035246
MD
Other
Enumeration date
03/01/2010
Last updated
03/01/2010
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