DR. Alexander Albert Fondak, M.D.

NPI #1033130174 in Kokomo, Indiana

Provider Information

NPI Number: 1033130174
Entity Type: Individual
Name: DR. Alexander Albert Fondak, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dermatology
Credential: M.D.
Enumeration Date: Jul 22, 2006
Last Updated: Jan 22, 2015

Practice Location

Address: 804 S BERKLEY RD
City: Kokomo
State: Indiana
ZIP Code: 46901-5198
Phone: (765) 457-4455

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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