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Organization

CENTER FOR INTERVENTIONAL PAIN MANGEMENT PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TALHA SIDDIQUI M.D (DIRECTOR)
(804) 832-3424
Entity
Organization

Contact information

Practice address
6164 FULLER CT, ALEXANDRIA, VA 22310-2540
(571) 257-9426
(571) 257-9839
Mailing address
6164 FULLER CT, ALEXANDRIA, VA 22310-2540
(571) 257-9426
(571) 257-9839

Taxonomy

Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
0101233817
VA

Other

Enumeration date
02/24/2009
Last updated
09/28/2015
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