Northern Virginia Pain Management Associates, Llc

NPI 1093995607 - Pain Medicine - 208VP0000X

NPI Details
NPI 1093995607
Enumeration Date 11/12/2007
Last Updated 11/12/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name CORELLA MARIE CORELLA
Position PRACTICE ADMINISTRATOR
Phone (703) 319-1006
Fax (703) 319-1008
Practice Location
124 PARK ST SE
SUITE 203
VIENNA VA, 22180-4654, US
Phone (703) 319-1006
Fax (703) 319-1008
Business Location
141 THOMAS JOHNSON DR
SUITE 190
FREDERICK MD, 21702-4502, US
Phone (301) 668-4403
Fax (301) 668-4406
Toxanomy
Taxonomy Code 208VP0000X
License State Virginia
License Number PENDING
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According to our database, Northern Virginia Pain Management Associates, Llc NPI is 1093995607, taxonomy code is 208VP0000X and license number is PENDING, license state is located at Virginia. Northern Virginia Pain Management Associates, Llc physically located at 124 Park St Se, Vienna VA, 22180-4654. NPI Number 1033115704 has the healthcare provider type.

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1093995607 NPI number is provided on an as is basis without warranty of any kind. 1093995607 is maintained by the National Plan & Provider Enumeration System. The contents of Northern Virginia Pain Management Associates, Llc are for informational purposes only.