Individual
SUSAN FONDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9300 DEWITT LOOP, FORT BELVOIR, VA 22060-5285
(571) 214-2532
Mailing address
9300 DEWITT LOOP, FORT BELVOIR, VA 22060-5285
(571) 214-2532
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
209486
NY
2083A0100X
Aerospace Medicine Physician
Primary
209486
NY
2083X0100X
Occupational Medicine Physician
209486
NY
Other
Enumeration date
12/14/2005
Last updated
04/13/2022
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