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Individual

DEVASHISH SEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
402 CHATHAM SQUARE OFFICE PARK, FREDERICKSBURG, VA 22405-2544
(540) 659-5414
(540) 659-5415
Mailing address
402 CHATHAM SQUARE OFFICE PARK, FREDERICKSBURG, VA 22405-2544
(540) 659-5414
(540) 659-5415

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
239890
NY
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
0101243180
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0101243180
VIRGINIA STATE LICENSE
VA
Enumeration date
02/02/2006
Last updated
08/19/2020
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