Individual
DR. RAYMUND D BANZON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2533 COWAN BLVD, FREDERICKSBURG, VA 22401-8440
(540) 371-0548
(540) 371-2481
Mailing address
7 PLANTERS PL, STAFFORD, VA 22554-8507
(540) 371-0548
(540) 371-2481
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101048478
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00090772
AETNA CAP
VA
05
—
005636329
—
VA
01
—
0101048478
LICENSE
VA
01
—
0898263
AETNA HMO
VA
01
—
141452
ANTHEM
VA
01
—
4265143
AETNA NON HMO
VA
01
—
814355
MAMSI
VA
01
—
CA9037
MCR RAILROAD GROUP
VA
01
—
CO2375
MEDICARE GROUP
VA
Enumeration date
01/13/2006
Last updated
04/13/2015
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