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 |
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Address | 6368 Coventry Way, Clinton, Maryland |
Phone Number | 3018776110 |
Fax Number | 3018772695 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
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Authorized Official Name | Barletta Peter Arthur |
Credentials | MD |
Telephone Number | 3018776110 |
NPI Number Detail
NPI Number | 1770764490 |
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Provider Enumeration Date | 2007-11-21 |
Last Updated Date | 2012-02-14 |
Provider Mailing Address Detail
Address | 6368 Coventry Way |
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City | Clinton |
State | Maryland (MD) |
Post Code | 207352256 |
Phone Number | 3018776110 |
Fax Number | 3018772695 |
Provider's Primary Taxonomy Detail
Speciality | Pain Medicine |
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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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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.