PROVIDENCE PAIN MANAGEMENT CENTER, P.A.

BOWIE, MD
NPI1285121749
Doing Business AsINNOVATIVE LABORATORIES
Entity TypeOrganization
Authorized ContactJOSEPH MAXWELL OPPONG
CEO
301-750-9500
Organization Subpart ?No
Primary Taxonomy291U00000X Clinical Medical Laboratory
(Licence: MD  21D2142104)
Enumeration Date2018-04-19
Last Update Date2019-08-13
Business Address
PROVIDENCE PAIN MANAGEMENT CENTER, P.A.
6911 LAUREL BOWIE RD STE 212B
BOWIE, MD 20715-1712
Phone number: 301-755-9500
Mailing Address
PROVIDENCE PAIN MANAGEMENT CENTER, P.A.
6911 LAUREL BOWIE RD STE 212B
BOWIE, MD 20715-1712
Phone number: 301-755-9500