OrganizationActive
Chronic Pain Treatment Centers
NPI 1184971509 · Pain Medicine Physician · Frederick, MD
Provider details
- NPI number
- 1184971509
- Entity type
- Organization
- Primary specialty
- Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Gloria Corbin, Director of Finance(301) 732-6300
- License
- 10554640 (MD)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Ambulatory Health Care Facilities
Practice location
8435 Progress Dr Ste Ee
Frederick, MD 21701-4981
Phone: (301) 624-5390
Fax: (301) 624-5393
Approximate (ZIP-level) locationGet directions
Mailing address
8435 Progress Dr Ste Ee
Frederick, MD 21701-4981
Other names (DBA / former)
- Former legal business name
- Frederick Spine & Rehab
Registry dates
- Enumerated
- 2012-08-06
- Last updated
- 2024-10-25
- Certified
- 2024-10-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.