Gonzaga Interventional Pain Management

LBN: Garrett Anesthesia And Pain Management
Gonzaga Interventional Pain Management is an health care organization with primary practice located at 957 National Hwy , Lavale MD 21502. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as the primary health care specialty. Garrett Anesthesia And Pain Management can be contacted via phone (240) 362-7128, or through Gonzaga, Melvin R via phone (240) 362-7128.

Contact Information

Primary practice address
957 National Hwy Lavale MD 21502
Phone: (240) 362-7128
Fax: (240) 362-7129
Website:
Map and Directions
Authorized official contact:
Name: Gonzaga, Melvin R Doctor of Medicine (MD)
Phone: (240) 362-7128

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X D222148 Maryland

Profile Details

NPI number 1073608253
LBN Legal business name Garrett Anesthesia And Pain Management
DBA Doing business as Gonzaga Interventional Pain Management
Authorized official Gonzaga, Melvin R Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 4th, 2006
Last updated Sep 4th, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073608253 NPPES
Maryland MEDICAID 961521100

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