institution
Prince William Ambulatory Surgery Center, Llc
Ambulatory Surgical Clinic/Center in Manassas, Virginia
NPI 1528077658

Prince William Ambulatory Surgery Center, Llc is an Ambulatory Surgical Clinic/Center based in Manassas, VA and is specialized in Ambulatory Surgical. Prince William Ambulatory Surgery Center, Llc practices in Manassas, VA. The NPI Number for Prince William Ambulatory Surgery Center, Llc is 1528077658 and holds a License No. OH695 (Virginia).

The current practice location address for Prince William Ambulatory Surgery Center, Llc is 8644 Sudley Rd, Manassas, VA and can be reached out via phone at 703-369-8525 and via fax at 571-229-1533.

Location: 8644 Sudley Rd, Manassas, VA, 20110-4417
institution
Provider Profile Details
NPI Number
1528077658
Provider Name
Prince William Ambulatory Surgery Center, Llc
Credential
Provider Entity Type
Organization
Address
8644 Sudley Rd, Manassas, VA, 20110-4417
Phone Number
703-369-8525
Fax Number
571-229-1533
Provider Enumeration Date
08/07/2006
Last Update Date
10/19/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2579620 01 UHC
9731258 01 CIGNA
2142411 01 MDIPA/OPTIMUM CHOICE
010274656 05 VA
186080 01 ANTHEM HEALTHKEEPERS
186080 01 VA ANTHEM
2142411 01 MAMSI/UHC
institution
Provider Business Practice Location Address Details
Address
8644 Sudley Rd
City
State
Zip
20110-4417
Phone Number
703-369-8525
Fax Number
571-229-1533
person
Provider Business Mailing Address Details
Address
8644 Sudley Rd
City
State
Zip
20110-4417
Phone Number
703-369-8525
Fax Number
571-229-1533
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
License No.
OH695 (Virginia)
Definition
Definition to come...
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