Healthcare Provider Details

I. General information

NPI: 1356372841
Provider Name (Legal Business Name): ARLINGTON PALLIATIVE CARE, PLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/05/2006
Last Update Date: 10/03/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1635 NORTH GEORGE MASON DR. SUITE 115
ARLINGTON VA
22205-3601
US

IV. Provider business mailing address

1635 NORTH GEORGE MASON DR. SUITE 115
ARLINGTON VA
22205-3601
US

V. Phone/Fax

Practice location:
  • Phone: 703-243-1310
  • Fax: 703-243-0128
Mailing address:
  • Phone: 703-243-1310
  • Fax: 703-243-0128

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: LOREN FRIEDMAN
Title or Position: OWNER
Credential: MD
Phone: 703-243-1310