NPI 1003283938

Mid Atlantic Pain Management, LLC

Organisation Pain Medicine (Anesthesiology) Physician Fairfax, VA

Practice location

Address: 3930 Pender Dr Suite 120, Fairfax, VA 22030-0985
Phone: (301) 829-7693
Fax: (301) 829-7694
Mailing address: 1302 Rising Ridge Rd Suite 1, Mount Airy, MD 21771-5790

Authorised official

Name: Lewie G Anderson
Title: Coo
Phone: (301) 829-7683

Registered specialties (2)

Pain Medicine (Anesthesiology) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207LP2900X

Other Anesthesiology providers in Virginia →

Anesthesiology Physician

Allopathic & Osteopathic Physicians Taxonomy 207L00000X

Registry record

NPI: 1003283938
Entity type: Organization
NPI issued: 26 Aug 2015
Record last updated: 26 Aug 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.