Organization
DOMINGO SUATENGCO, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINGO SUATENGCO (DOCTOR)
(703) 476-0901
Entity
Organization
Contact information
Practice address
3700 JOSEPH SIEWICK DR, SUITE 206, FAIRFAX, VA 22033-1744
(703) 476-0901
(703) 264-9762
Mailing address
3700 JOSEPH SIEWICK DR, SUITE 206, FAIRFAX, VA 22033-1744
(703) 476-0901
(703) 264-9762
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
0101-041522
VA
Other
Enumeration date
07/06/2007
Last updated
02/07/2008
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