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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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