Provider Demographics
NPI:1689619389
Name:BABCOCK, MARIAPAZ (DO)
Entity type:Individual
Prefix:
First Name:MARIAPAZ
Middle Name:
Last Name:BABCOCK
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8130 BOONE BLVD STE 250
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22182-2640
Mailing Address - Country:US
Mailing Address - Phone:844-927-8487
Mailing Address - Fax:844-927-8487
Practice Address - Street 1:8130 BOONE BLVD STE 250
Practice Address - Street 2:
Practice Address - City:VIENNA
Practice Address - State:VA
Practice Address - Zip Code:22182-2640
Practice Address - Country:US
Practice Address - Phone:844-927-8487
Practice Address - Fax:844-927-8487
Is Sole Proprietor?:No
Enumeration Date:2006-06-17
Last Update Date:2024-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0102201122208VP0014X, 208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC003352K57Medicare PIN