| Carlos Fonseca Medical | |
|
526 Penn St Reading PA 19602-1096 | |
| (610) 375-3000 | |
| (610) 372-8030 |
| Full Name | Carlos Fonseca Medical |
|---|---|
| Speciality | Family Medicine |
| Location | 526 Penn St, Reading, Pennsylvania |
| Authorized Official Name and Position | Joelle J Thomas (MANAGER) |
| Authorized Official Contact | 6103757073 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carlos Fonseca Medical 526 Penn St Reading PA 19602-1096 Ph: (610) 375-3000 | Carlos Fonseca Medical 526 Penn St Reading PA 19602-1096 Ph: (610) 375-3000 |
| NPI Number | 1962656587 |
|---|---|
| Provider Enumeration Date | 11/10/2008 |
| Last Update Date | 11/10/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962656587 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD03459E (Pennsylvania) | Primary |
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