Organization
ALEXANDER S. FANGONIL, M.D.PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXANDER SANSANO FANGONIL M.D (PRESIDENT)
(202) 529-3400
Entity
Organization
Contact information
Practice address
1160 VARNUM ST NE, DE PAUL BLDG. SUITE 212, WASHINGTON, DC 20017-2107
(202) 529-3400
(202) 832-8007
Mailing address
1160 VARNUM ST NE, DE PAUL BLDG. SUITE 212, WASHINGTON, DC 20017-2107
(202) 529-3400
(202) 832-8007
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD 5342
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021223800
—
DC
Enumeration date
06/13/2008
Last updated
06/13/2008
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