Organization
NOVA ADVANCED PAIN MANAGEMENT PLLC
Active
Organization
NOVA ADVANCED PAIN MANAGEMENT PLLC
Active
Other names
The Spine Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEENI BASSAM M.D. (OWNER)
(703) 257-2266
Entity
Organization
Contact information
Practice address
8525 ROLLING RD, SUITE 200, MANASSAS, VA 20110-3647
(703) 257-2266
(703) 257-2269
Mailing address
PO BOX 4600, MANASSAS, VA 20108-4600
(703) 257-2266
(703) 257-2269
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
03/22/2007
Last updated
01/07/2021
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