Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Maryland Interventional Pain Management LLC

Organization Internal Medicine Physician · NPI 1356619803

Maryland Interventional Pain Management LLC is an Internal Medicine Physician in White Marsh, Maryland. Registered with an NPI since 2011.

In the registry since
2011
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5430 Campbell Blvd Ste 106
White Marsh, MD 21162-5500
Phone: (443) 725-4930
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Multi-Specialty Clinic/Center (primary) Taxonomy 261QM1300X
Internal Medicine Physician Taxonomy 207R00000X
Pain Medicine (Physical Medicine & Rehabilitation) Physician Taxonomy 2081P2900X

Record details

NPI number1356619803
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Martelloni — Practice Adm · (865) 466-0650
NPI enumeratedDecember 12, 2011
Last updated in NPPESDecember 12, 2011
Mailing address5430 Campbell Blvd, Suite 106, White Marsh, MD 21162-5500

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