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Premise Health Of Connecticut Medical, P.c.
Primary Care Clinic/Center in Manassas, Virginia
NPI 1598054793

Premise Health Of Connecticut Medical, P.c. is a Primary Care Clinic/Center based in Brentwood, VA and is specialized in Primary Care. Premise Health Of Connecticut Medical, P.c. practices in Manassas, VA. The NPI Number for Premise Health Of Connecticut Medical, P.c. is 1598054793 and holds a License No. (Virginia).

The current practice location address for Premise Health Of Connecticut Medical, P.c. is 9600 Godwin Dr, Manassas, VA and can be reached out via phone at 703-396-1067 and via fax at 703-396-1060.

Location: 9600 Godwin Dr, Manassas, VA, 37027-4948
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1598054793
Provider Name
Premise Health Of Connecticut Medical, P.c.
Credential
Provider Entity Type
Organization
Address
9600 Godwin Dr, Manassas, VA, 37027-4948
Phone Number
703-396-1067
Fax Number
703-396-1060
Provider Enumeration Date
03/29/2011
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
9600 Godwin Dr
City
Manassas
State
Virginia
Zip
20110-4162
Phone Number
703-396-1067
Fax Number
703-396-1060
person
Provider Business Mailing Address Details
Address
9600 Godwin Dr
City
Manassas
State
Virginia
Zip
20110-4162
Phone Number
703-396-1067
Fax Number
703-396-1060
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
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Definition
Definition to come...
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