| Novec - Manassas | |
|
10432 Balls Ford Rd Ste 224 Manassas VA 20109-2516 | |
| (571) 229-9740 | |
| Not Available |
| Full Name | Novec - Manassas |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 10432 Balls Ford Rd Ste 224, Manassas, Virginia |
| Authorized Official Name and Position | Jonathan B Leizman (PRESIDENT) |
| Authorized Official Contact | 2164799063 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Novec - Manassas 5500 Maryland Way Brentwood TN 37027-7048 Ph: () - | Novec - Manassas 10432 Balls Ford Rd Ste 224 Manassas VA 20109-2516 Ph: (571) 229-9740 |
| NPI Number | 1629743968 |
|---|---|
| Provider Enumeration Date | 08/10/2021 |
| Last Update Date | 08/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629743968 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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