Organization · NPI-2

Novus Pain Management - Maryland, LLC

Physical Medicine & Rehabilitation, Pain Medicine · Laurel, MD

NPI number1285489641
StatusActive
Last updated in NPPESJun 18, 2024

Details

NPI
1285489641
Entity type
Organization (NPI-2)
Legal business name
Novus Pain Management - Maryland, LLC
Organization subpart
No
Enumeration date
Apr 19, 2024
Certification date
Jun 18, 2024
Last updated
Jun 18, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2081P2900X Physical Medicine & Rehabilitation, Pain Medicine––Yes

Practice location

14200 Laurel Park Dr
Laurel, MD 20707-5201

Phone 301-722-0484 · Fax 833-903-0130

Mailing address

157 Baltimore St
Cumberland, MD 21502-2472

Phone 301-722-0484 · Fax 833-903-0130

Authorized official

Heather Robosson
Practice Manager
2407273995

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