Organization
MOSAIC MEDICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY NORTH (OFFICE MANAGER)
(703) 393-0700
Entity
Organization
Contact information
Practice address
8525 ROLLING RD, SUITE 222, MANASSAS, VA 20110-3647
(703) 393-0720
(703) 334-0750
Mailing address
8525 ROLLING RD, SUITE 220, MANASSAS, VA 20110-3647
(703) 393-0700
(703) 393-0661
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
01/12/2010
Last updated
11/15/2013
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