Individual
JUAN PABLO FONSECA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
1111 AMSTERDAM AVE, EMERGENCY MEDICINE DEPARTMENT, NEW YORK, NY 10025-1716
(212) 523-3981
(212) 523-2186
Mailing address
1111 AMSTERDAM AVE, EMERGENCY MEDICINE DEPARTMENT, NEW YORK, NY 10025-1716
(212) 523-3981
(212) 523-2186
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
267760
NY
Other
Enumeration date
09/24/2008
Last updated
01/15/2013
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