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Contact Information

GARRETT ANESTHESIA AND PAIN MANAGEMENT
957 NATIONAL HWY
LA VALE, MD21502
 Phone: 240-362-7128
 Fax: 240-362-7129
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

208VP0000X 72 Physician/Pain Management
Indicates primary specialty

NPI Profile & details for GARRETT ANESTHESIA AND PAIN MANAGEMENT

NPI Number 1073608253
LBN Legal business name GARRETT ANESTHESIA AND PAIN MANAGEMENT
Authorized official MELVIN GONZAGA - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/04/2006
Last updated 09/04/2018 - About 8 years ago
Identifiers
MD License # D222148
MD Medicaid 961521100
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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