Individual
HIRAL P. FONTANILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9 CENTRE DR STE 115, MONROE TWP, NJ 08831-5153
(609) 655-5755
(609) 655-5725
Mailing address
629 CRANBURY RD FL 2, EAST BRUNSWICK, NJ 08816-4096
(732) 390-7750
(732) 390-7725
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
25MA09095800
NJ
2085R0001X
Radiation Oncology Physician
Primary
MD444914
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0290246
—
NJ
01
—
1790396281
TITAN HEALTH GROUP NPI#
NJ
Enumeration date
07/26/2007
Last updated
05/22/2023
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