Individual
DR. ALFIE EDWARD MINGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8118 GOOD LUCK RD, LANHAM, MD 20706-3595
(301) 552-8665
(301) 552-8665
Mailing address
8118 GOOD LUCK RD, LANHAM, MD 20706-3595
(301) 552-8665
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
4301098748
MI
207P00000X
Emergency Medicine Physician
Primary
D0060545
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12142821
CAQH
MI
Enumeration date
06/18/2006
Last updated
11/22/2013
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