NPI 1043288376
Maryland Brain Spine & Pain LLC
Practice location
- Address
- 4201 Northview Dr STE 101, Bowie, MD 20716-2644
- Phone
- (410) 266-2720
- Fax
- (410) 224-0209
- Mailing address
- 1000 Bestgate Rd STE 400, Annapolis, MD 21401-3371
Authorised official
- Name
- Brian J Sullivan
- Title
- President/Physician
- Phone
- (410) 266-2720
Registered specialties
Neurological Surgery Physician
Primary
Registry record
- NPI
- 1043288376
- Entity type
- Organization
- NPI issued
- 11 Mar 2006
- Record last updated
- 29 Nov 2018
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.