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Organization
MAP RC LLC
Active
Organization
MAP RC LLC
Active
Other names
Prime Regenerative and Pain Management
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEVASHISH SEN MD (PRESIDENT)
(540) 659-5414
Entity
Organization
Contact information
Practice address
402 CHATHAM SQUARE OFFICE PARK, FREDERICKSBURG, VA 22405-2544
(540) 659-5414
(406) 595-4155
Mailing address
402 CHATHAM SQUARE OFFICE PARK, FREDERICKSBURG, VA 22405-2544
(540) 659-5414
(406) 595-4155
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101243180
LICENCE NUMBER
VA
Enumeration date
03/02/2019
Last updated
07/14/2023
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