Individual
VIVIAN M FRAGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5454 WISCONSIN AVE, SUITE 1005, CHEVY CHASE, MD 20815-6901
(301) 654-2182
(301) 654-7545
Mailing address
14 BRIDLE CT, POTOMAC, MD 20854-3887
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
31606
MD
Other
Enumeration date
07/16/2006
Last updated
07/08/2007
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