| Organization Name: | ANTON A. MINASSIAN PAIN MEDICINE & REHABILITATION SVCS |
| NPI Number: | 1417052366 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ANTON ANTRANIK MINASSIAN (MEDICAL DIRECTOR) |
| Mailing Address: | 7984 Old Georgetown Rd Suite 7c Bethesda |
| State: | MD US |
| Postal Code: | 208142448 |
| Phone Number: | 3016544948 |
| Fax Number: | 3016540770 |
| NPI Enumeration Date: | 09/14/2006 |
| NPI Last Update Date: | 08/12/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | D0051046 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MD |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |