Organization
EMERGENCY MEDICINE ASSOCIATES P.A., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER CHASTAIN (PROVIDER ENROLLMENT COORDINATOR)
(330) 994-4430
Entity
Organization
Contact information
Practice address
4315 CHAIN BRIDGE RD, FAIRFAX, VA 22030-3061
(703) 877-8200
Mailing address
4535 DRESSLER RD NW, CANTON, OH 44718-2545
(330) 493-4443
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
12/18/2025
Last updated
12/18/2025
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