Raphael F. Guanzon, M.D., Pllc

LBN: Raphael F. Guanzon, M.D., Pllc
Raphael F. Guanzon, M.D., Pllc is an health care organization with primary practice located at 704 London St Suite A, Portsmouth VA 23704-2413. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty. Raphael F. Guanzon, M.D., Pllc can be contacted via phone (757) 399-0513, or through Guanzon, Raphael Fajardo via phone (757) 399-0513.

Contact Information

Primary practice address
704 London St Suite A Portsmouth VA 23704-2413
Phone: (757) 399-0513
Fax: (757) 465-0785
Website:
Map and Directions
Authorized official contact:
Name: Guanzon, Raphael Fajardo Doctor of Medicine (MD)
Phone: (757) 399-0513

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 0101026720 Virginia

Profile Details

NPI number 1871897058
LBN Legal business name Raphael F. Guanzon, M.D., Pllc
DBA Doing business as
Authorized official Guanzon, Raphael Fajardo Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 3rd, 2011
Last updated Jan 3rd, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871897058 NPPES
Virginia Other 003121 ANTHEM

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