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Individual
DR. FREDERICK MANALO ALCANTARA
Active
Individual
DR. FREDERICK MANALO ALCANTARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD432566
PA
207Q00000X
Family Medicine Physician
Primary
23746
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1020032650001
—
PA
01
—
AL1983636
BLUE SHIELD
PA
01
—
P00434792
MEDICARE TRAVELERS
PA
Enumeration date
08/23/2007
Last updated
04/06/2022
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