Organization
PREMISE HEALTH OF VIRGINIA MEDICAL, P.C
Active
Other names
BAE Systems Manassas VA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN B LEIZMAN MD (PRESIDENT)
(844) 407-7557
Entity
Organization
Contact information
Practice address
9300 WELLINGTON RD, MANASSAS, VA 20110-4122
(571) 364-7618
(571) 364-6201
Mailing address
5500 MARYLAND WAY STE 120, BRENTWOOD, TN 37027-4993
Taxonomy
Speciality
Code
Description
License number
State
261QX0100X
Occupational Medicine Clinic/Center
Primary
—
—
Other
Enumeration date
01/28/2021
Last updated
08/15/2022
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