Organization
CENTER FOR INTERVENTIONAL PAIN MANGEMENT PC
Active
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
Update your record
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