# VIVIAN FRAGA, M.D. OB/GYN LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952676298
- **Authorized official:** VIVIAN FRAGA M.D. (OWNER)
- **Authorized official phone:** (301) 654-2182

## Contact information

- **Practice address:** 5454 WISCONSIN AVE, SUITE 1005, CHEVY CHASE, MD 20815-6901
- **Practice address phone:** (301) 654-2182
- **Practice address fax:** (301) 654-7545
- **Mailing address:** 5454 WISCONSIN AVE, SUITE 1005, CHEVY CHASE, MD 20815-6901

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | D0031606 | MD | Yes |

## Other

- **Enumeration date:** 03/20/2012
- **Last updated:** 03/20/2012