Organization
PRINCE WILLIAM CARDIOLOGY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANE M COPPAGE (PRACTICE MANAGER)
(703) 369-5959
Entity
Organization
Contact information
Practice address
8569B SUDLEY ROAD, MANASSAS, VA 20110
(703) 369-5959
Mailing address
8569B SUDLEY ROAD, MANASSAS, VA 20110
(703) 369-5959
(703) 369-7473
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
0002200929
VA
Other
Enumeration date
12/13/2006
Last updated
07/02/2010
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