Individual
JOSEPH FONTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
736 CAMBRIDGE ST, BRIGHTON, MA 02135-2907
(617) 789-3000
Mailing address
960 MASSACHUSETTS AVE STE 2, BOSTON, MA 02118-2690
(617) 414-5405
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
205608
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0192040
—
MA
01
—
205608
TUFTS
MA
01
—
J24967
BLUE CROSS BLUE SHIELD
MA
Enumeration date
01/18/2006
Last updated
04/01/2025
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