BALTIMORE PAIN RELIEF CENTER - NPI 1053670430 - General Practice in Baltimore, MD

Q: What is Maryland Interventional Pain Management, LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

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About Baltimore Pain Relief Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BALTIMORE PAIN RELIEF CENTER (NPI 1053670430) is a healthcare organization registered as a general practice in Baltimore, Maryland and active in the NPI registry since May 2012. The organization lists Timothy J Gober, President, as its authorized official.

NPPES Registry Identity

NPI1053670430

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameMARYLAND INTERVENTIONAL PAIN MANAGEMENT, LLC

Location Address1147 S HANOVER STBaltimore, MD 21230-3717

Mailing Address5430 Campbell Blvd, Suite 106White Marsh, MD 21162-5500 · (443) 725-4930 · Fax (443) 725-4933

Phone(443) 725-4930

Fax(443) 725-4933

Organization SubpartYes

Authorized OfficialTimothy J GoberPresident · (443) 725-4930

Enumeration DateMay 7, 2012

✔ NPI 1053670430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in MD · 60828

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedChiropractorTaxonomy 111N00000X · License 3470 (MD)

Also ListedPhysician AssistantTaxonomy 363A00000X · License 3825 (MD), 3868 (MD)

1147 S HANOVER ST, Baltimore, MD 21230

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Other Names 1

Doing Business AsBaltimore Pain Relief Center

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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