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Organization
CARLOS FONSECA MEDICAL CENTER PC
Active
Organization
CARLOS FONSECA MEDICAL CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. UTA ANGELA NOLLER (BUSINESS MANAGER)
(610) 375-7073
Entity
Organization
Contact information
Practice address
526 PENN ST, READING, PA 19602-1096
(610) 375-3000
(610) 372-8030
Mailing address
526 PENN ST, READING, PA 19602-1096
(610) 375-3000
(610) 372-8030
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
MD006646E
PA
208D00000X
General Practice Physician
Primary
MD034593E
PA
Other
Enumeration date
03/12/2014
Last updated
03/12/2014
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