Organization · Type 2 NPI
Premise Health of Connecticut Medical, P.c.
Primary Care Clinic/Center · Manassas, VA
NPI number
1598054793
Active
Practice location
9600 Godwin Dr
Manassas, VA 20110-4162
Fax (703) 396-1060
Mailing address
5500 Maryland Way
Brentwood, TN 37027-4948
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
2 other providers at this address
Other primary care clinic/center providers in Manassas
- Axiom Health CorporationPrimary Care Clinic/Center Manassas, VA NPI 1700129194
- Catholic Charaties Diocese of ArlingtonPrimary Care Clinic/Center Manassas, VA NPI 1801630801
- Balanced Life Chiropractic LLCPrimary Care Clinic/Center Manassas, VA NPI 1821567652
- Accessstar Primary Care LLCPrimary Care Clinic/Center Manassas, VA NPI 1851821557
- Valley Health Clinic IncPrimary Care Clinic/Center Manassas, VA NPI 1912065863
- Manassas Primary Care, LLCPrimary Care Clinic/Center Manassas, VA NPI 1972892065
About NPI 1598054793
Premise Health of Connecticut Medical, P.c.'s National Provider Identifier is 1598054793, issued on Mar 29, 2011. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Manassas, VA. The record was last updated on Aug 15, 2022.