PREMISE HEALTH OF CONNECTICUT MEDICAL, P.C.

MANASSAS, VA
NPI1598054793
Doing Business AsMTV HEALTH CENTER
Entity TypeOrganization
Authorized ContactJON LEIZMAN
President
216-479-9063
Organization Subpart ?No
Primary Taxonomy261QP2300X Clinic/Center, Primary Care
Enumeration Date2011-03-29
Last Update Date2022-08-15
Business Address
PREMISE HEALTH OF CONNECTICUT MEDICAL, P.C.
9600 GODWIN DR
MANASSAS, VA 20110-4162
Phone number: 703-396-1067
Mailing Address
PREMISE HEALTH OF CONNECTICUT MEDICAL, P.C.
5500 MARYLAND WAY
BRENTWOOD, TN 37027-4948
Phone number: 703-396-1067