DR. Peter Fonseca, M.D.

NPI #1760483101 in Bridgeton, Missouri

Provider Information

NPI Number: 1760483101
Entity Type: Individual
Name: DR. Peter Fonseca, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Thoracic Surgery (Cardiothoracic Vascular Surgery)
Credential: M.D.
Enumeration Date: Aug 9, 2005
Last Updated: Nov 5, 2020

Practice Location

Address: 12266 DE PAUL DR STE 205
City: Bridgeton
State: Missouri
ZIP Code: 63044-2514
Phone: (314) 647-8269

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Thoracic Surgery (Cardiothoracic Vascular Surgery)	208G00000X	Primary

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Organizations

Provider Name	Specialty	City
Ssm Cardiovascular and Thoracic Services, Inc. Part of Ssm Cardiovascular and Thoracic Services, Inc.	Thoracic Surgery (Cardiothoracic Vascular Surgery)	Bridgeton	AI Deep Dive

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