Individual
MAYO F FRIEDLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1750 TYSONS BLVD STE 120, MC LEAN, VA 22102-4227
(703) 914-8000
(703) 642-1876
Mailing address
11350 MCCORMICK RD, EXECUTIVE PLAZA 1, STE 501, HUNT VALLEY, MD 21031
(410) 329-0107
(410) 329-1054
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
0101035326
VA
208VP0014X
Interventional Pain Medicine Physician
Primary
0101035326
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6895361
—
VA
Enumeration date
03/08/2006
Last updated
07/26/2021
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