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Individual

DR. CARLOS A FONTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
100 CAMP ST, HYANNIS, MA 02601-3007
(508) 775-1984
(508) 790-1897
Mailing address
100 CAMP ST, HYANNIS, MA 02601-3007
(508) 775-1984
(508) 790-1897

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
73203
MA
208D00000X
General Practice Physician
73203
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000029644
BOSTO MEDICAL HEALTH PLAN
MA
01
020028374
RAILROAD MEDICARE
MA
01
30421
CHILDRENS MED SEC PLAN
MA
05
3067491
MA
01
738720
TUFTS HEALTH PLAN
MA
01
801558
HARVARD PILGIM HEALTH CAR
MA
01
B20373801
CIGNA
MA
01
J09897
BCBS
MA
Enumeration date
02/28/2006
Last updated
07/02/2010
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