PHYSICAL MEDICINE ASSOCIATES LTD NPI 1760872410

NPI Information

PHYSICAL MEDICINE ASSOCIATES, LTD is a pain medicine physical medicine rehabilitation in Mc Lean, VA. The provider is a physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. PHYSICAL MEDICINE ASSOCIATES, LTD NPI is 1760872410. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1750 TYSONS BLVD STE 120
MC LEAN, VA
ZIP 22102-227
Phone: (703) 714-7178
Fax: (703) 288-0214

The provider's authorized official is Mayo F Fridelis .
The authorized official title is President and has the following contact phone number (703) 914-8000.

The CLIA number assigned to this NPI record is 49D2087295 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/3/2015 and was last updated on 10/24/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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