# DR. FREDERICK MANALO ALCANTARA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1942493812
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | MD432566 | PA | — |
| 207Q00000X | Family Medicine Physician | 23746 | WV | Yes |

## Other

- **Enumeration date:** 08/23/2007
- **Last updated:** 04/06/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1020032650001 | — | PA |
| 01 | — | AL1983636 | BLUE SHIELD | PA |
| 01 | — | P00434792 | MEDICARE TRAVELERS | PA |