Individual
DR. HONORATO FENOL NICODEMUS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
NAT. NAV. MED. CEN., WISCONSIN AVE, BETHESDA, MD 19103
(301) 295-4455
Mailing address
13110 FOXDEN DR, ROCKVILLE, MD 20850-3404
(301) 279-2092
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
D0021096
MD
Other
Enumeration date
04/05/2006
Last updated
07/08/2007
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