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Anthony Faugeres Emmanuel

Physician Assistant, Surgical in Bethesda, MD. Individual provider (NPI-1).

NPI number1497069249
StatusActive
Last updated in NPPESAug 4, 2010

Details

NPI
1497069249
Entity type
Individual (NPI-1)
Name
Anthony Faugeres Emmanuel
Sex
Male
Sole proprietor
Yes
Enumeration date
Aug 4, 2010
Last updated
Aug 4, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363AS0400X Physician Assistant, Surgicalcertified assistantVAYes

Practice location

6400 Goldsboro Road Suite 400
Massachusetts Ave Surgery Center
Bethesda, MD 20817

Phone 301-263-0800 · Fax 301-263-8020

Mailing address

9720 Leatherfern Ter
Apt 101
Montgomery Village, MD 20886-6330

Phone 301-642-1304

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