Individual
DENISE R FONTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1240 S CEDAR CREST BLVD, STE 103, ALLENTOWN, PA 18103-6369
(610) 402-7880
(610) 402-7881
Mailing address
PO BOX 1754, ALLENTOWN, PA 18105-1754
(484) 884-4500
(484) 884-0699
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
300652
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
SP011903
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02099094
—
NY
Enumeration date
08/31/2006
Last updated
09/17/2012
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