in Manassas - Medical

- NPI 1548427578

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
Address 8644 Sudley Rd Ste 305, Manassas, Virginia
Phone Number 7033681969
Fax Number 7033694164
Sole Proprietor --
Credentials --

NPI Number Detail

NPI Number 1548427578
Provider Enumeration Date
Last Updated Date

Provider Mailing Address Detail

Address 8644 Sudley Rd Ste 305
City Manassas
State Virginia (VA)
Post Code 201104425
Phone Number 7033681969
Fax Number 7033694164

Provider's Primary Taxonomy Detail

Speciality Medical
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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