NPI 1255636858

Physical Medicine/Rehab

Organisation Pain Medicine (Physical Medicine & Rehabilitation) Physician Bowie, MD

Practice location

Address: 4000 Mitchellville Rd Suite 324 B, Bowie, MD 20716-3104
Phone: (301) 860-0306
Fax: (301) 860-0307

Authorised official

Name: Nicholette Martin-Davis
Title: MD
Phone: (301) 860-0305

Registered specialties

Pain Medicine (Physical Medicine & Rehabilitation) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2081P2900X Licence D0050415 (MD)

Other Physical Medicine & Rehabilitation providers in Maryland →

Registry record

NPI: 1255636858
Entity type: Organization
NPI issued: 13 Jan 2011
Record last updated: 13 Jan 2011

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.