| Nova Headache & Chronic Pain Center | |
|
8993 Cotswold Dr Burke VA 22015-1666 | |
| (703) 425-5550 | |
| (703) 425-5558 |
| Full Name | Nova Headache & Chronic Pain Center |
|---|---|
| Speciality | Clinic/center |
| Location | 8993 Cotswold Dr, Burke, Virginia |
| Authorized Official Name and Position | Maureen Hayes (PRESIDENT) |
| Authorized Official Contact | 7034255550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nova Headache & Chronic Pain Center 8993 Cotswold Dr Burke VA 22015-1666 Ph: (703) 425-5550 | Nova Headache & Chronic Pain Center 8993 Cotswold Dr Burke VA 22015-1666 Ph: (703) 425-5550 |
| NPI Number | 1710376652 |
|---|---|
| Provider Enumeration Date | 01/15/2015 |
| Last Update Date | 01/15/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710376652 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 0104557221 (Virginia) | Primary |
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