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Organization
CHOICE PAIN & REHABILITATION CENTER, LLC
Active
Organization
CHOICE PAIN & REHABILITATION CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRISTAN JULIAN SHOCKLEY M.D. (MEDICAL DIRECTOR)
(240) 786-1001
Entity
Organization
Contact information
Practice address
7404 EXECUTIVE PL STE 503, LANHAM, MD 20706-2268
(240) 786-1001
Mailing address
8843 GREENBELT RD STE 117, GREENBELT, MD 20770-2451
(240) 786-1001
(240) 786-1002
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
208VP0014X
Interventional Pain Medicine Physician
—
NULL
208VP0014X
Interventional Pain Medicine Physician
—
—
Other
Enumeration date
05/31/2013
Last updated
01/24/2022
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