Provider Demographics
NPI:1821218660
Name:PAIN AND REHABILITATION MEDICINE
Entity Type:Organization
Organization Name:PAIN AND REHABILITATION MEDICINE
Other - Org Name:PAIN AND REHABILITATION MEDICINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:D
Authorized Official - Last Name:GERWIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-656-0220
Mailing Address - Street 1:7830 OLD GEORGETOWN RD
Mailing Address - Street 2:SUITE C15
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-2432
Mailing Address - Country:US
Mailing Address - Phone:301-656-0220
Mailing Address - Fax:301-654-0333
Practice Address - Street 1:7830 OLD GEORGETOWN RD
Practice Address - Street 2:SUITE C15
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-2432
Practice Address - Country:US
Practice Address - Phone:301-656-0220
Practice Address - Fax:301-654-0333
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-26
Last Update Date:2011-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty