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Novus Pain Management - Maryland, LLC

Organization Active NPI Pain Medicine (Physical Medicine & Rehabilitation) Physician · Lexington PK, MD

NPI 1104670868 · NPPES record last updated Jun 18, 2024

Key facts

NPI
1104670868
Entity type
Organization (NPI type 2)
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X
Legal business name
NOVUS PAIN MANAGEMENT - MARYLAND, LLC
Practice address
21412 Great Mills Rd
Lexington PK, MD 20653-1203
Phone
(301) 722-0484
Fax
(833) 903-0130
NPI assigned
Apr 17, 2024
Organization subpart
No

Authorized official

Name
Heather Robosson
Title
Practice Manager
Phone
(240) 727-3995

Corporate family (same tax ID) 18

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Novus Pain Management (53 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Group: 193400000X SINGLE SPECIALTY GROUP		 2081P2900X Yes

Addresses

Primary practice location

21412 Great Mills Rd
Lexington PK, MD 20653-1203

Mailing address

157 Baltimore St
Cumberland, MD 21502-2472
Phone (301) 722-0484

Other providers in Lexington PK, MD

All providers in Lexington PK, MD · Pain Medicine (Physical Medicine & Rehabilitation) Physician in Maryland

Sources for this page

Verify at the official NPI Registry.