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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