Blue Water Physiatry L L C in Clinton - Pain Medicine

Blue Water Physiatry L L C - NPI 1770764490

Blue Water Physiatry L L C is a Pain Medicine in Clinton, Maryland. Blue Water Physiatry L L C practices all healthcare services and medical treatments related to Pain Medicine. The NPI Number for Blue Water Physiatry L L C is 1770764490. The last update date is 2012-02-14.

Blue Water Physiatry L L C's current location address is 6368 Coventry Way, Clinton, Maryland. You can contact this provider via phone number 3018776110 and fax number 3018772695. The mailing address for Blue Water Physiatry L L C is 6368 Coventry Way, Clinton, Maryland. To know further, please read the information below!

Provider Profile Detail

Provider Organization Blue Water Physiatry L L C
Address 6368 Coventry Way, Clinton, Maryland
Phone Number 3018776110
Fax Number 3018772695
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Barletta Peter Arthur
Credentials MD
Telephone Number 3018776110

NPI Number Detail

NPI Number 1770764490
Provider Enumeration Date 2007-11-21
Last Updated Date 2012-02-14

Provider Mailing Address Detail

Address 6368 Coventry Way
City Clinton
State Maryland (MD)
Post Code 207352256
Phone Number 3018776110
Fax Number 3018772695

Provider's Primary Taxonomy Detail

Speciality Pain Medicine
Taxonomy 2081P2900X
Licence No D0039416
Definition:
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated wit

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FAQs about Blue Water Physiatry L L C

What is the unique 10-digit identification code assigned to Blue Water Physiatry L L C by the Centers for Medicare & Medicaid Services?

The Blue Water Physiatry L L C has been issued the NPI (National Provider Identifier) 1770764490, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Blue Water Physiatry L L C's facilities are situated?

The facilities of Blue Water Physiatry L L C are physically located at the following address: 6368 Coventry Way, Clinton, MD, 207352256.

What is Blue Water Physiatry L L C's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Blue Water Physiatry L L C is Pain Medicine, and the taxonomy code that classifies this field of practice is 2081P2900X.

On what date did the Centers for Medicare & Medicaid Services issue the 1770764490 to Blue Water Physiatry L L C?

The Blue Water Physiatry L L C received its 1770764490 assignment from the Centers for Medicare & Medicaid Services on 2007-11-21.

As of what date were the details pertaining to Blue Water Physiatry L L C last refreshed?

The information related to the Blue Water Physiatry L L C, including its address, specialty, and other relevant details, was last updated on 2012-02-14.

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