MARYLAND PAIN & REGENERATIVE CENTER, LLC

SPRINGFIELD, VA
NPI1104467463
Doing Business AsDOMINION SPINE AND PAIN
Doing Business AsDOMINION PRIMARY CARE
Entity TypeOrganization
Authorized ContactRITU VARMA
Owner/Physician
419-819-7394
Organization Subpart ?No
Primary Taxonomy208VP0014X Pain Medicine, Interventional Pain Medicine
Additional Taxonomies207LP2900X Anesthesiology, Pain Medicine
207Q00000X Family Medicine
207R00000X Internal Medicine
207RG0300X Internal Medicine, Geriatric Medicine
208D00000X General Practice
208VP0000X Pain Medicine, Pain Medicine
225100000X Physical Therapist
367500000X Nurse Anesthetist, Certified Registered
Enumeration Date2019-10-07
Last Update Date2024-08-21
Business Address
MARYLAND PAIN & REGENERATIVE CENTER, LLC
6128 BRANDON AVE STE 208210
SPRINGFIELD, VA 22150-2640
Phone number: 301-659-0003
Mailing Address
MARYLAND PAIN & REGENERATIVE CENTER, LLC
12070 OLD LINE CTR
WALDORF, MD 20602-2513
Phone number: 419-819-7394