| Name | Value |
|---|---|
| PROVIDER TYPE | Allopathic & Osteopathic Physicians |
| CLASSIFICATION | Internal Medicine |
| DEFINITION | An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. |
| AREA OF SPECIALIZATION | Addiction Medicine |
| STATUS | Active |
| VA CODE | V181001 |
| X12 CODE | 207RA0401X |
| SPECIALTY CODE | 11 |
| INDIVIDUAL/NON | INDIVIDUAL |
| MASTER ENTRY FOR VUID | YES |
| VUID | 5251640 |
| EFFECTIVE DATE/TIME |
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