Raphael F. Guanzon, M.d., Pllc
NPI #1871897058 in Portsmouth, Virginia
Provider Information
- NPI Number
- 1871897058
- Entity Type
- Organization
- Organization Name
- Raphael F. Guanzon, M.d., Pllc
- Primary Specialty
- General Practice
- Enumeration Date
- Jan 3, 2011
- Last Updated
- Jan 3, 2011
Practice Location
- Address
- 704 LONDON ST
- Address 2
- SUITE A
- City
- Portsmouth
- State
- Virginia
- ZIP Code
- 23704-2413
- Phone
- (757) 399-0513
Authorized Official
- Name
- DR. RAPHAEL FAJARDO GUANZON, M.D.
- Title
- OWNER
- Phone
- (757) 399-0513
Specialties & Taxonomy Codes
| Specialty |
|---|
| General Practice |
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