Healthcare Provider Details

I. General information

NPI: 1821109547
Provider Name (Legal Business Name): ANTHONY GERARD ARCENAS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 IRVING ST NW
WASHINGTON DC
20422-0001
US

IV. Provider business mailing address

4550 N PARK AVE T107
CHEVY CHASE MD
20815-7232
US

V. Phone/Fax

Practice location:
  • Phone: 202-745-4058
  • Fax: 202-745-8131
Mailing address:
  • Phone: 301-652-3343
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberMD20459
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberJ1182
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: