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1780029140
DEGHA FONGOD
ASHBURN, VA
NPI
1780029140
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: VA 0101263117)
Enumeration Date
2013-04-29
Last Update Date
2020-05-14
Business Address
DEGHA FONGOD M.D.
44121 HARRY BYRD HWY STE 145
ASHBURN, VA 20147-5667
Phone number: 703-879-4729
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Mailing Address
DEGHA FONGOD M.D.
44121 HARRY BYRD HWY STE 145
ASHBURN, VA 20147-5667
Phone number: 703-879-4729
Copy
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