Carlos Fonseca Medical

NPI #1962656587 in Reading, Pennsylvania

Provider Information

NPI Number: 1962656587
Entity Type: Organization
Organization Name: Carlos Fonseca Medical
Primary Specialty: Family Medicine
Enumeration Date: Nov 10, 2008
Last Updated: Nov 10, 2008

Practice Location

Address: 526 PENN ST
City: Reading
State: Pennsylvania
ZIP Code: 19602-1096
Phone: (610) 375-3000

Authorized Official

Name: MRS. JOELLE J THOMAS
Title: MANAGER
Phone: (610) 375-7073

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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