Provider Demographics
NPI:1013538198
Name:JOHN M HUFFMAN M D LLC
Entity Type:Organization
Organization Name:JOHN M HUFFMAN M D LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:M
Authorized Official - Last Name:HUFFMAN
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:571-732-0044
Mailing Address - Street 1:1635 N GEORGE MASON DR STE 150
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22205-3679
Mailing Address - Country:US
Mailing Address - Phone:571-732-0044
Mailing Address - Fax:
Practice Address - Street 1:1635 N GEORGE MASON DR STE 150
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22205-3679
Practice Address - Country:US
Practice Address - Phone:571-732-0044
Practice Address - Fax:866-850-1049
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-30
Last Update Date:2020-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Single Specialty