NPI 1346708492

Providence Pain Management Center, PA

Organisation Pain Medicine (Anesthesiology) Physician Laurel, MD

Practice location

Address: 14201 Laurel Park Dr Suite 223, Laurel, MD 20707
Phone: (301) 798-9300
Fax: (301) 355-2101
Mailing address: 6911 Laurel Bowie Rd Suite 212, Bowie, MD 20721

Authorised official

Name: Akara Forsythe
Title: Ceo
Phone: (301) 750-9500

Registered specialties

Pain Medicine (Anesthesiology) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207LP2900X

Other Anesthesiology providers in Maryland →

Registry record

NPI: 1346708492
Entity type: Organization
NPI issued: 7 Mar 2019
Record last updated: 22 Oct 2019

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.