Individual
DR. UMBERTO GAETANO FONTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
709 N JUSTICE ST STE A, HENDERSONVILLE, NC 28791-3455
(828) 697-7377
(828) 697-7380
Mailing address
1850 W ARLINGTON BLVD, GREENVILLE, NC 27834-5704
(252) 413-6725
(252) 413-6268
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
9400794
NC
207RI0011X
Interventional Cardiology Physician
Primary
9400794
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32909
BCBS
NC
05
—
8932909
—
NC
01
—
NN0286G
MEDICARE PTAN
NC
Enumeration date
08/15/2005
Last updated
04/01/2021
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