person
Dr. Frederick Manalo Alcantara, MD
Family Medicine Physician in Fairmont, West Virginia
NPI 1942493812

Frederick Manalo Alcantara is a Family Medicine Physician based in Morgantown, WV. Frederick Manalo Alcantara practices in Fairmont, WV and has the professional credentials of MD. The NPI Number for Frederick Manalo Alcantara is 1942493812 and holds a License No. MD432566 (West Virginia).

The current practice location address for Frederick Manalo Alcantara is 2048 Vip Way, Fairmont, WV and can be reached out via phone at 304-366-6200 and via fax at 304-366-4927. You can also correspond with Frederick Manalo Alcantara through the mailing address at 252 HANALEI DR, MORGANTOWN, WV - 26508-4263 (mailing address contact number: 304-594-0916).

Location: 2048 Vip Way, Fairmont, WV, 26508-4263
person
Provider Profile Details
NPI Number
1942493812
Provider Name
Frederick Manalo Alcantara
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2048 Vip Way, Fairmont, WV, 26508-4263
Phone Number
304-366-6200
Fax Number
304-366-4927
Provider Enumeration Date
08/23/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
AL1983636 01 PA BLUE SHIELD
P00434792 01 PA MEDICARE TRAVELERS
1020032650001 05 PA
institution
Provider Business Practice Location Address Details
Address
2048 Vip Way
City
State
Zip
26554
Phone Number
304-366-6200
Fax Number
304-366-4927
person
Provider Business Mailing Address Details
Address
2048 Vip Way
City
State
Zip
26554
Phone Number
304-366-6200
Fax Number
304-366-4927
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
23746 (West Virginia)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
License No.
MD432566 (Pennsylvania)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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