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ANTHONY FAUGERES EMMANUEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
6400 GOLDSBORO ROAD SUITE 400, MASSACHUSETTS AVE SURGERY CENTER, BETHESDA, MD 20817
(301) 263-0800
(301) 263-8020
Mailing address
9720 LEATHERFERN TER, APT 101, MONTGOMERY VILLAGE, MD 20886-6330
(301) 642-1304

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
CERTIFIED ASSISTANT
VA

Other

Enumeration date
08/04/2010
Last updated
08/04/2010
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