Organization
PHYSICAL MEDICINE - REHABILITATION AND PAIN MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANA ACEVEDO MD (PRESIDENT)
(410) 793-0791
Entity
Organization
Contact information
Practice address
11119 ROCKVILLE PIKE, STE. 200, ROCKVILLE, MD 20852-3143
(301) 468-0006
(301) 468-0046
Mailing address
PO BOX 2763, KENSINGTON, MD 20891-2763
(410) 793-0791
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
12/19/2007
Last updated
07/02/2008
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