Individual
DR. EVONNE FONTANILLA DONELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
500 UPPER CHESAPEAKE DR, BEL AIR, MD 21014-4324
(443) 643-1500
(443) 643-1505
Mailing address
500 UPPER CHESAPEAKE DR, BEL AIR, MD 21014-4324
(443) 643-1500
(443) 643-1505
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D64015
MD
208M00000X
Hospitalist Physician
Primary
D64015
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
458803700
—
MD
Enumeration date
02/27/2007
Last updated
04/15/2024
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