Healthcare Provider Details

I. General information

NPI: 1073450227
Provider Name (Legal Business Name): THE PAIN EXPERTS OF MARYLAND LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1003 LIMEKILN CT
BALTIMORE MD
21286-2107
US

IV. Provider business mailing address

1003 LIMEKILN CT
BALTIMORE MD
21286-2107
US

V. Phone/Fax

Practice location:
  • Phone: 908-432-4519
  • Fax:
Mailing address:
  • Phone: 908-432-4519
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MICHAEL JUOR-CHIANG WONG
Title or Position: OWNER
Credential: MD
Phone: 908-432-4519