| Manassas Neurology Associates Pllc | |
|
8650 Sudley Rd Ste 309 Manassas VA 20110-4416 | |
| (703) 366-2799 | |
| (703) 366-2801 |
| Full Name | Manassas Neurology Associates Pllc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 8650 Sudley Rd Ste 309, Manassas, Virginia |
| Authorized Official Name and Position | Jonathan Robert Amy (PRINCIPAL MEMBER) |
| Authorized Official Contact | 7033662799 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Manassas Neurology Associates Pllc 8650 Sudley Rd Ste 309 Manassas VA 20110-4416 Ph: (703) 366-2799 | Manassas Neurology Associates Pllc 8650 Sudley Rd Ste 309 Manassas VA 20110-4416 Ph: (703) 366-2799 |
| NPI Number | 1376618132 |
|---|---|
| Provider Enumeration Date | 11/21/2006 |
| Last Update Date | 11/01/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376618132 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 0101036899 (Virginia) | Primary |
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