Provider Demographics
NPI:1427495100
Name:ROSEN-HOFFBERG REHABILITATION AND PAIN MANANGEMENT ASSOCIATES, PA
Entity type:Organization
Organization Name:ROSEN-HOFFBERG REHABILITATION AND PAIN MANANGEMENT ASSOCIATES, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SEC/TREAS.
Authorized Official - Prefix:
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:
Authorized Official - Last Name:PASQUA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-821-7775
Mailing Address - Street 1:1001 CROMWELL BRIDGE RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21286-2055
Mailing Address - Country:US
Mailing Address - Phone:410-821-7775
Mailing Address - Fax:410-821-1320
Practice Address - Street 1:1001 CROMWELL BRIDGE RD STE 200
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21286-3330
Practice Address - Country:US
Practice Address - Phone:410-821-7775
Practice Address - Fax:410-821-1320
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ROSEN-HOFFBERG REHABILITATION AND PAIN MANAGEMENT ASSOCIATES, PA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-06-04
Last Update Date:2018-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDS03545111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty