DR. Raphael Fajardo Guanzon, M.D.
NPI #1184732992 in Portsmouth, Virginia
Provider Information
- NPI Number
- 1184732992
- Entity Type
- Individual
- Name
- DR. Raphael Fajardo Guanzon, M.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- General Practice
- Credential
- M.D.
- Enumeration Date
- Aug 29, 2006
- Last Updated
- Dec 31, 2009
Practice Location
- Address
- 704 LONDON ST # A
- City
- Portsmouth
- State
- Virginia
- ZIP Code
- 23704-2413
- Phone
- (757) 399-0513
Specialties & Taxonomy Codes
| Specialty |
|---|
| General Practice |
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