Individual
CARMEN MARIA FONSECA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9500 EUCLID AVENUE/J3-5, CLEVELAND CLINIC DEPT. CARDIOVASCULAR MEDICINE, CLEVELAND, OH 44195
(216) 445-3991
(216) 636-6958
Mailing address
9500 EUCLID AVENUE/J3-5, CLEVELAND CLINIC, CLEVELAND, OH 44195
(216) 445-3991
(216) 636-6958
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
35061401F
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0828439
—
OH
Enumeration date
10/04/2006
Last updated
06/22/2011
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