Individual
DON J. FONTANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3500 OLD WASHINGTON RD., SUITE 201, WALDORF, MD 20602-3238
(301) 870-0600
(301) 870-0609
Mailing address
3500 OLD WASHINGTON RD., SUITE 201, WALDORF, MD 20602-3238
(301) 870-0600
(301) 870-0609
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
22431
NH
208200000X
Plastic Surgery Physician
2909
WI
208200000X
Plastic Surgery Physician
Primary
D0023431
MD
208200000X
Plastic Surgery Physician
MD10918
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3282DJ
BCBS MD
MD
Enumeration date
12/08/2005
Last updated
04/12/2023
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