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Individual

MATTHEW FONTANA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
235 AARAMAR LN, CORRALES, NM 87048-8205
(505) 803-5554
Mailing address
235 AARAMAR LN, CORRALES, NM 87048-8205
(505) 803-5554

Taxonomy

Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
20020278
NM

Other

Enumeration date
03/23/2006
Last updated
07/08/2007
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