NPI 1962788323

Maryland Rehab and Pain Specialists,llc

Organisation Preferred Provider Organization Ellicott City, MD

Practice location

Address: 5070 Dorsey Hall Dr Suite 101, Ellicott City, MD 21042-7711
Phone: (410) 884-9293
Fax: (410) 884-6933

Authorised official

Name: Cathy X. Gao
Title: President
Phone: (410) 884-9293

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence D0057718 (MD)

Other Preferred Provider Organization providers in Maryland →

Registry record

NPI: 1962788323
Entity type: Organization
NPI issued: 31 Oct 2011
Record last updated: 8 Jan 2013

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.