John Fontaine in Philadelphia - Cardiovascular Disease

John Fontaine - NPI 1811945017

John Fontaine is a Cardiovascular Disease in Philadelphia, Pennsylvania. John Fontaine practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for John Fontaine is 1811945017. The last update date is 2016-09-13.

John Fontaine's current location address is 219 N Broad St, Philadelphia, Pennsylvania. You can contact this provider via phone number 2157625080 and fax number 2155618071. The mailing address for John Fontaine is 219 N Broad St, Philadelphia, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name John Fontaine
Address 219 N Broad St, Philadelphia, Pennsylvania
Phone Number 2157625080
Fax Number 2155618071
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1811945017
Provider Enumeration Date 2006-05-04
Last Updated Date 2016-09-13

Provider Mailing Address Detail

Address 219 N Broad St
City Philadelphia
State Pennsylvania (PA)
Post Code 191071519
Phone Number 2157625080
Fax Number 2155618071

Provider's Primary Taxonomy Detail

Speciality Cardiovascular Disease
Taxonomy 207Rc0000X
Licence No MD042292L
Definition:
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1214146 PA --

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FAQs about John Fontaine

What is the unique identification code assigned to John Fontaine by the Centers for Medicare & Medicaid Services?

The John Fontaine has been issued the NPI (National Provider Identifier) 1811945017. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where John Fontaine is physically located?

The John Fontaine is physically situated at the following address: 219 N Broad St, Philadelphia, PA, 191071519.

What is John Fontaine's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for John Fontaine is Cardiovascular Disease, and the taxonomy classification code that categorizes this area of expertise is 207Rc0000X.

On what date did the John Fontaine receive the assignment of its 1811945017 from the Centers for Medicare & Medicaid Services?

The John Fontaine was issued its 1811945017 by the Centers for Medicare & Medicaid Services on 2006-05-04.

When was the information regarding John Fontaine, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to John Fontaine, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2016-09-13.

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