NPI 1104380468

Nova Addiction Center

Organisation Pain Medicine Physician Sterling, VA

Practice location

Address: 21135 Whitfield Pl STE 101, Sterling, VA 20165-7279
Phone: (703) 568-8906

Authorised official

Name: Kerry Mason
Title: Administrator
Phone: (540) 335-8435

Registered specialties

Pain Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208VP0000X

Other Pain Medicine providers in Virginia →

Registry record

NPI: 1104380468
Entity type: Organization
NPI issued: 30 Jan 2019
Record last updated: 30 Jan 2019

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.