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Individual

DR. ALVIN PRINCE BANNERJEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
1145 19TH ST NW STE 605, WASHINGTON, DC 20036-3731
(202) 833-9109
Mailing address
1600 E GUDE DR STE 200, ROCKVILLE, MD 20850-1496
(301) 933-7133
(301) 933-7137

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
01549
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1225329873
NPI
CA
Enumeration date
04/29/2011
Last updated
04/12/2019
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