| Organization Name: | PHYSICAL MEDICINE ASSOCIATES, LTD |
| NPI Number: | 1760872410 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MAYO F FRIDELIS (PRESIDENT) |
| Mailing Address: | 11350 Mccormick Rd Executive Plaza 1, Suite 501 Hunt Valley |
| State: | MD US |
| Postal Code: | 210311002 |
| Phone Number: | 4103291071 |
| Fax Number: | 4103291059 |
| NPI Enumeration Date: | 02/03/2015 |
| NPI Last Update Date: | 10/28/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2081P2900X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| 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. |