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Organization
PRINCE WILLIAM HOSPITAL
Active
Organization
PRINCE WILLIAM HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT W RILEY (CHIEF FINANCIAL OFFICER)
(703) 369-8021
Entity
Organization
Contact information
Practice address
8609 SUDLEY RD, SUITE 201, MANASSAS, VA 20110-8321
(703) 369-8448
(703) 369-8667
Mailing address
8609 SUDLEY RD, SUITE 201, MANASSAS, VA 20110-8321
(703) 369-8448
(703) 369-8667
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4974123
—
VA
Enumeration date
10/20/2006
Last updated
08/19/2009
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