is a Medical in Manassas, Virginia. practices all healthcare services and medical treatments related to Medical. The NPI Number for is 1548427578. The last update date is .
's current location address is 8644 Sudley Rd Ste 305, Manassas, Virginia. You can contact this provider via phone number 7033681969 and fax number 7033694164. The mailing address for is 8644 Sudley Rd Ste 305, Manassas, Virginia. To know further, please read the information below!
Provider Profile Detail
Provider Name | |
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Address | 8644 Sudley Rd Ste 305, Manassas, Virginia |
Phone Number | 7033681969 |
Fax Number | 7033694164 |
Sole Proprietor | -- |
Credentials | -- |
NPI Number Detail
NPI Number | 1548427578 |
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Provider Enumeration Date | |
Last Updated Date |
Provider Mailing Address Detail
Address | 8644 Sudley Rd Ste 305 |
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City | Manassas |
State | Virginia (VA) |
Post Code | 201104425 |
Phone Number | 7033681969 |
Fax Number | 7033694164 |
Provider's Primary Taxonomy Detail
Speciality | Medical |
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Taxonomy | 363Am0700X |
Licence No | 110002126 |
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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