Nova Addiction Center

NPI #1104380468 in Sterling, Virginia

Provider Information

NPI Number: 1104380468
Entity Type: Organization
Organization Name: Nova Addiction Center
Primary Specialty: Pain Medicine - Pain Medicine
Enumeration Date: Jan 30, 2019
Last Updated: Jan 30, 2019

Practice Location

Address: 21135 WHITFIELD PL STE 101
City: Sterling
State: Virginia
ZIP Code: 20165-7279
Phone: (703) 568-8906

Authorized Official

Name: KERRY MASON
Title: ADMINISTRATOR
Phone: (540) 335-8435

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pain Medicine - Pain Medicine — Pain Medicine	208VP0000X	Primary

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