NPI 1093995607

Northern Virginia Pain Management Associates, LLC

Organisation Pain Medicine Physician Vienna, VA

Practice location

Address: 124 Park St SE Suite 203, Vienna, VA 22180-4654
Phone: (703) 319-1006
Fax: (703) 319-1008
Mailing address: 141 Thomas Johnson Dr Suite 190, Frederick, MD 21702-4502

Authorised official

Name: Corella Marie Fenwick
Title: Practice Administrator
Phone: (301) 668-4842

Registered specialties

Pain Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208VP0000X Licence PENDING (VA)

Other Pain Medicine providers in Virginia →

Registry record

NPI: 1093995607
Entity type: Organization
NPI issued: 12 Nov 2007
Record last updated: 12 Nov 2007

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.