RAPHAEL F. GUANZON M.D. PLLC NPI 1871897058

NPI Information

RAPHAEL F. GUANZON, M.D., PLLC is a general practice in Portsmouth, VA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee RAPHAEL F. GUANZON, M.D., PLLC NPI is 1871897058. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

704 LONDON ST
SUITE A
PORTSMOUTH, VA
ZIP 23704-413
Phone: (757) 399-0513
Fax: (757) 465-0785

The provider's authorized official is Raphael Fajardo Guanzon .
The authorized official title is Owner and has the following contact phone number (757) 399-0513.

The enumeration date for this NPI number is 1/3/2011 and was last updated on 1/3/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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