Individual
DR. MELISSA TERESA FAGONDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1160 VARNUM STREET , NE, DEPAUL 110, WASHINGTON, DC 20017-2107
(202) 448-4090
(202) 448-4093
Mailing address
1150 VARNUM ST NE RM 407, WASHINGTON, DC 20017-2180
(202) 854-4090
(202) 854-4093
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
D078399
MD
207Q00000X
Family Medicine Physician
Primary
MD042650
DC
Other
Enumeration date
05/26/2011
Last updated
01/23/2020
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