Provider Demographics
NPI:1689235517
Name:PRM OF MARYLAND PC
Entity Type:Organization
Organization Name:PRM OF MARYLAND PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT, OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:SOLIMINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-480-7961
Mailing Address - Street 1:18 E 41ST ST RM 2002
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017-6215
Mailing Address - Country:US
Mailing Address - Phone:646-481-4998
Mailing Address - Fax:646-434-0755
Practice Address - Street 1:6410 ROCKLEDGE DR STE 210
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20817-1830
Practice Address - Country:US
Practice Address - Phone:301-941-4004
Practice Address - Fax:301-941-4015
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-21
Last Update Date:2021-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty