Individual
DR. JOSEPH E FONDRIEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2112 CHERRY VALLEY RD, NEWARK, OH 43055-1323
(740) 522-3774
(740) 522-2221
Mailing address
2112 CHERRY VALLEY RD, P O BOX 948, NEWARK, OH 43055-1323
(740) 522-3774
(740) 522-2221
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
66356
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0978438
—
OH
Enumeration date
09/27/2005
Last updated
06/16/2010
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