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NPI Code Detail

MEDICARE: ADVANCED PAIN MANAGEMENT SPECIALISTS LLC

MEDICARE: ADVANCED PAIN MANAGEMENT SPECIALISTS LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology Physician
2207LP2900XPain Medicine (Anesthesiology) Physician
3208100000XPhysical Medicine & Rehabilitation Physician
4208VP0000XPain Medicine Physician
5208VP0014XInterventional Pain Medicine Physician

General Provider Information

NPI Number : 1801781703
Entity Type Code : Organization
Provider Name (Legal Business Name) : ADVANCED PAIN MANAGEMENT SPECIALISTS LLC
Provider Business Mailing Address
First Line : 201 DEFENSE HWY STE 205
Second Line :
City : ANNAPOLIS
State : MD
Zip : 21401-7096
Country : US
Telephone Number : 855-527-7246
Fax Number : 866-229-5063
Provider Business Practice Location Address
First Line : 2373 N ROLLING RD
Second Line :
City : WINDSOR MILL
State : MD
Zip : 21244-1952
Country : US
Telephone Number : 855-527-7246
Fax Number : 866-229-5063
Authorized Official
Title or Position : CEO
Name : DAMEAN WILLIAM FREAS
Credential : D.O.
Telephone Number : 410-571-2946
Provider Enumeration Date : 06/11/2025
Last Update Date : 06/11/2025

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Practice Fax: 866-229-5063

Directions to “ADVANCED PAIN MANAGEMENT SPECIALISTS LLC ” Practice Location

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