Provider Demographics
NPI:1134327265
Name:KNJ PROPERTIES LLC
Entity Type:Organization
Organization Name:KNJ PROPERTIES LLC
Other - Org Name:BERLIN INTERVENTIONAL PAIN MANAGEMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:GALUARDI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-641-3759
Mailing Address - Street 1:PO BOX 884
Mailing Address - Street 2:
Mailing Address - City:BERLIN
Mailing Address - State:MD
Mailing Address - Zip Code:21811-0884
Mailing Address - Country:US
Mailing Address - Phone:410-641-3759
Mailing Address - Fax:410-641-1746
Practice Address - Street 1:10308 OLD OCEAN CITY BLVD
Practice Address - Street 2:
Practice Address - City:BERLIN
Practice Address - State:MD
Practice Address - Zip Code:21811-1132
Practice Address - Country:US
Practice Address - Phone:410-641-3759
Practice Address - Fax:410-641-1746
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-10
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD174PMedicare PIN