| 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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