OrganizationActive
Center for Sports and Regenerative Orthopedics, LLC
NPI 1225459936 · Pain Medicine (Physical Medicine & Rehabilitation) Physician · Waldorf, MD
Provider details
- NPI number
- 1225459936
- Entity type
- Organization
- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Miriam Razaq, Physician(240) 754-7954
- License
- H67340 (MD)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
601 Post Office Rd Ste 2a
Waldorf, MD 20602
Phone: (240) 754-7954
Fax: (240) 754-7958
Approximate (ZIP-level) locationGet directions
Mailing address
601 Post Office Rd Ste 2a
Waldorf, MD 20602-1912
Other names (DBA / former)
- Former legal business name
- Pain and Wellness Center of Maryland, LLC
Additional practice locations (2)
- 601 Post Office Rd Ste 2aWaldorf, MD 20602-1912Phone: (240) 754-7954Fax: (240) 754-7958
- 225 Reinekers Ln Ste Gr4Alexandria, VA 22314-2871Phone: (240) 754-7954Fax: (571) 349-0204
Registry dates
- Enumerated
- 2013-12-23
- Last updated
- 2022-04-08
- Certified
- 2022-04-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.