Provider Demographics
NPI:1164781472
Name:CENTER FOR PAIN MANAGEMENT,LLC
Entity Type:Organization
Organization Name:CENTER FOR PAIN MANAGEMENT,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARC
Authorized Official - Middle Name:
Authorized Official - Last Name:LOEV
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-881-8449
Mailing Address - Street 1:8824 CUNNINGHAM DR
Mailing Address - Street 2:SUITE D
Mailing Address - City:BERWYN HEIGHTS
Mailing Address - State:MD
Mailing Address - Zip Code:20740-2338
Mailing Address - Country:US
Mailing Address - Phone:240-542-3040
Mailing Address - Fax:240-542-3041
Practice Address - Street 1:8824 CUNNINGHAM DR STE B
Practice Address - Street 2:
Practice Address - City:BERWYN HEIGHTS
Practice Address - State:MD
Practice Address - Zip Code:20740-2338
Practice Address - Country:US
Practice Address - Phone:240-542-3040
Practice Address - Fax:240-542-3041
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-07
Last Update Date:2018-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Single Specialty