Organization
EMERGENCY MEDICINE ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER CHASTAIN (PROVIDER ENROLLMENT)
(330) 493-4443
Entity
Organization
Contact information
Practice address
1850 TOWN CENTER PARKWAY, RESTON HOSPITAL CENTER, RESTON, VA 20190
(703) 689-9039
(703) 689-9109
Mailing address
4535 DRESSLER RD NW, CANTON, OH 44718-2545
(330) 493-4443
(330) 493-8677
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
R183795
MD
Other
Enumeration date
08/27/2014
Last updated
12/17/2024
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