Organization
MANASSAS PRIMARY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NAVDEEP MATHUR MD (OWNER)
(571) 379-8827
Entity
Organization
Contact information
Practice address
8428 DORSEY CIR, SUITE 101, MANASSAS, VA 20110-8302
(571) 379-8827
(888) 224-4936
Mailing address
9913 MANET RD, BURKE, VA 22015-3806
(703) 994-8845
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
0101240433
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1952346066
INDIVIDUAL NPI
VA
Enumeration date
03/29/2011
Last updated
09/14/2011
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