Individual
MR. ROBERT JOHN FONTANA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2501 PARKERS LANE, MOUNT VERNON HOSPITAL, ALEXANDRIA, VA 22306
(703) 664-7277
Mailing address
11222 SILVERLEAF DRIVE, FAIRFAX STATION, VA 22039-2019
(703) 764-1829
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
0110840471
VA
Other
Enumeration date
10/12/2006
Last updated
07/08/2007
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