Organization
MANASSAS NEUROLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FREHIWOT D TEMESGEN MD (PRESIDENT)
(301) 675-0149
Entity
Organization
Contact information
Practice address
7880 DONEGAN DR, MANASSAS, VA 20109-2869
(301) 675-0149
Mailing address
10605 BUSICK CT, GAINESVILLE, VA 20155-3400
(301) 675-0149
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
—
—
Other
Enumeration date
05/21/2021
Last updated
08/31/2021
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