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Individual

ACQUANETTA FRAZIER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
8723 GREENBELT RD STE 201, GREENBELT, MD 20770-2403
(301) 552-9797
Mailing address
PO BOX 77793, WASHINGTON, DC 20013-8793

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
D0022435
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
011722500
DC
01
110011605
RAILROAD MEDICARE
MD
05
157411600
MD
01
2251992
AETNA
MD
01
28524
MAMSI/ALLIANCE
MD
01
F912 0001
CAREFIRST
MD
Enumeration date
11/08/2006
Last updated
10/18/2017
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