Individual
VICTOR FONTANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
879 POOLE AVE, HAZLET, NJ 07730-2041
(732) 888-8388
Mailing address
124 FRANKLIN ST, SECAUCUS, NJ 07094-4215
(551) 208-0842
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
25MB08150900
NJ
Other
Enumeration date
08/22/2006
Last updated
10/04/2011
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