| NPI | 1922374255 |
|---|---|
| Doing Business As | CLEARWAY PAIN SOLUTIONS |
| Entity Type | Organization |
| Authorized Contact | DAMEAN FREAS CEO 410-571-2946 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 363A00000X Physician Assistant | |
| 208100000X Physical Medicine & Rehabilitation | |
| 208VP0000X Pain Medicine, Pain Medicine | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine | |
| 225400000X Rehabilitation Practitioner | |
| 174400000X Specialist | |
| 207L00000X Anesthesiology | |
| 207LP2900X Anesthesiology, Pain Medicine | |
| Enumeration Date | 2012-03-30 |
| Last Update Date | 2023-04-13 |