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Organization

MEDSERV MEDICAL MANAGEMENT SERVICES LLC

Active
Other names
Medical and Vision Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
MIGUEL E ORELLANA (PRESIDENT)
(571) 208-1384
Entity
Organization

Contact information

Practice address
8243 SHOPPERS SQ, MANASSAS, VA 20111-2176
(571) 208-1384
(571) 208-1542
Mailing address
8243 SHOPPERS SQ, MANASSAS, VA 20111-2176
(571) 208-1384
(571) 208-1542

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
0101246564
VA

Other

Enumeration date
05/22/2015
Last updated
05/22/2015
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