OrganizationActive
Northern Virginia Pain Management Associates, LLC
NPI 1093995607 · Pain Medicine Physician · Vienna, VA
Provider details
- NPI number
- 1093995607
- Entity type
- Organization
- Primary specialty
- Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Corella Fenwick, Practice Administrator
- License
- PENDING (VA)
Practice location
124 Park St Se
Suite 203
Vienna, VA 22180-4654
Phone: (703) 319-1006
Fax: (703) 319-1008
Mailing address
141 Thomas Johnson Dr
Frederick, MD 21702-4502
Registry dates
- Enumerated
- 2007-11-12
- Last updated
- 2007-11-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.