Organization Name: | CHOICE PAIN & REHABILITATION CENTER |
NPI Number: | 1033505391 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TRISTAN JULIUS SHOCKLEY (MEDICAL DIRECTOR) |
Mailing Address: | 9841 Greenbelt Rd Suite 208 Lanham |
State: | MD US |
Postal Code: | 207066269 |
Phone Number: | 2407861001 |
Fax Number: | 2407861002 |
NPI Enumeration Date: | 04/13/2015 |
NPI Last Update Date: | 04/13/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2081P2900X |
License Number: | D008884 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Physical Medicine & Rehabilitation |
Taxonomy Specialization: | Pain Medicine |
Taxonomy Definition: | A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |