Advanced & Integrated Pain Management, LLC
Organization Active NPI Multi-Specialty Clinic/Center · Randallstown, MD
NPI 1134440092 · NPPES record last updated Nov 9, 2016
Key facts
- NPI
- 1134440092
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Multi-Specialty Clinic/Center 261QM1300X
- License
- S01679 (MD)
- Legal business name
- ADVANCED & INTEGRATED PAIN MANAGEMENT, LLC
- Practice address
- 8507 Liberty Road
Suite L1
Randallstown, MD 21133 - Phone
- (443) 272-6763
- Fax
- (443) 272-7834
- NPI assigned
- Jun 15, 2010
- Organization subpart
- No
Authorized official
- Name
- Dr. Sue Ellen Podmijersky, D.C.
- Title
- Managing Member
- Phone
- (443) 272-6763
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | S01679 | MD | Yes |
Addresses
Primary practice location
8507 Liberty Road
Suite L1
Randallstown, MD 21133
Mailing address
P.O. Box 298
Severna Park, MD 21146
Phone (443) 272-6763
Other names
- Liberty Chiropractic & Physical Therapy Center at Randallstown
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All providers in Randallstown, MD · Multi-Specialty Clinic/Center in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 9, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.