Organization · NPI-2

Advanced Pain Management Specialists, LLC

Physical Medicine & Rehabilitation, Pain Medicine · Laurel, MD

NPI number1497278741
StatusActive
Last updated in NPPESFeb 19, 2020

Details

NPI
1497278741
Entity type
Organization (NPI-2)
Legal business name
Advanced Pain Management Specialists, LLC
Organization subpart
No
Enumeration date
Jul 19, 2017
Certification date
Feb 19, 2020
Last updated
Feb 19, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2081P2900X Physical Medicine & Rehabilitation, Pain Medicine––Yes
208100000X Physical Medicine & Rehabilitation––
208VP0000X ––
208VP0014X Pain Medicine, Interventional Pain Medicine––
332B00000X Durable Medical Equipment & Medical Supplies––

Other names

  • Clearway Pain Solutions (Doing Business As)

Practice location

8367 Cherry Ln
Laurel, MD 20707-4831

Phone 410-571-2946

Mailing address

201 Defense Hwy Ste 205
Annapolis, MD 21401-7096

Phone 410-571-2946

Authorized official

Damean Freas
Ceo
4105712946

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