Individual
DR. MANFRED A VONFRICKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8505 ARLINGTON BLVD, SUITE 300, FAIRFAX, VA 22031-4621
(703) 698-9335
(703) 207-0038
Mailing address
7501 GREENWAY CENTER DR, SUITE 300, GREENBELT, MD 20770-3514
(301) 474-4679
(301) 474-7182
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0101032050
VA
207W00000X
Ophthalmology Physician
D0021492
MD
207W00000X
Ophthalmology Physician
MD12609
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006306837
—
VA
05
—
006392423
—
VA
05
—
024861600
—
DC
05
—
477441800
—
MD
Enumeration date
03/28/2006
Last updated
12/08/2009
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