Old Town Manassas Medical Center
Old Town Manassas Medical Center is a Clinic/Center in Manassas, Virginia. Licensed in Virginia. Registered with an NPI since 2014.
- Licensed in
- VA
- In the registry since
- 2014
Practice location Address checks out
9003 Church StManassas, VA 20110-5410
Phone: (703) 365-0397
Fax: (703) 365-0399
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinic/Center (primary) | Taxonomy 261Q00000X · Licence 0663198-0 (VA) |
|---|
Record details
| NPI number | 1184027161 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Flaviano Dazo — Owner · (703) 365-0397 |
| NPI enumerated | October 3, 2014 |
| Last updated in NPPES | October 3, 2014 |
| Mailing address | 9003 Church St, Manassas, VA 20110-5410 |
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