MEDICARE: DR. ABRAHAM ALAN CHERRICK MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208100000X	Physical Medicine & Rehabilitation Physician	0101035230	VA
2	208VP0014X	Interventional Pain Medicine Physician	0101035230	VA

General Provider Information

NPI Number	:	1700854577
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ABRAHAM ALAN CHERRICK MD

Provider Business Mailing Address
First Line	:	11350 MCCORMICK RD
Second Line	:	EXECUTIVE PLAZA 1, STE. 501
City	:	HUNT VALLEY
State	:	MD
Zip	:	21031
Country	:	US
Telephone Number	:	703-738-4332
Fax Number	:	703-642-1876

Provider Business Practice Location Address
First Line	:	6355 WALKER LN STE 507
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22310-3251
Country	:	US
Telephone Number	:	703-738-4332
Fax Number	:	703-642-3487

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/09/2006
Last Update Date	:	07/26/2021

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