Organization
NEWBRIDGE SPINE AND PAIN CENTER OF VIRGINIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRUTHYUNJAYA GONCHIGAR M.D. (OWNER/PHYSICIAN)
(301) 668-9988
Entity
Organization
Contact information
Practice address
161 FORT EVANS RD NE, SUITE 340, LEESBURG, VA 20176-3369
(703) 443-8000
(703) 443-8100
Mailing address
196 THOMAS JOHNSON DR, SUITE 215, FREDERICK, MD 21702-4397
(301) 668-9988
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
10/24/2013
Last updated
06/16/2014
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