Provider Demographics
NPI:1356372841
Name:ARLINGTON PALLIATIVE CARE, PLC
Entity type:Organization
Organization Name:ARLINGTON PALLIATIVE CARE, PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LOREN
Authorized Official - Middle Name:
Authorized Official - Last Name:FRIEDMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:703-243-1310
Mailing Address - Street 1:1635 NORTH GEORGE MASON DR.
Mailing Address - Street 2:SUITE 115
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22205-3601
Mailing Address - Country:US
Mailing Address - Phone:703-243-1310
Mailing Address - Fax:703-243-0128
Practice Address - Street 1:1635 NORTH GEORGE MASON DR.
Practice Address - Street 2:SUITE 115
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22205-3601
Practice Address - Country:US
Practice Address - Phone:703-243-1310
Practice Address - Fax:703-243-0128
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-05
Last Update Date:2008-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DD7572Medicare PIN
DCG01747Medicare PIN