Sudley Medical Clinic Inc | |
10757 Ambassador Dr Suite 101 Manassas VA 20109-2522 | |
(703) 626-7501 | |
(571) 379-7468 |
Full Name | Sudley Medical Clinic Inc |
---|---|
Speciality | Family Medicine |
Location | 10757 Ambassador Dr, Manassas, Virginia |
Authorized Official Name and Position | Maria E Mendoza (OFFICE MANAGER) |
Authorized Official Contact | 7036267501 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Sudley Medical Clinic Inc 10757 Ambassador Dr Suite 101 Manassas VA 20109-2522 Ph: (703) 626-7501 | Sudley Medical Clinic Inc 10757 Ambassador Dr Suite 101 Manassas VA 20109-2522 Ph: (703) 626-7501 |
NPI Number | 1174829782 |
---|---|
Provider Enumeration Date | 01/28/2011 |
Last Update Date | 09/28/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174829782 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 0101239873 (Virginia) | Primary |
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