Individual
DR. GREGORY FONTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
215 W JANSS RD, THOUSAND OAKS, CA 91360-1847
(805) 852-9100
Mailing address
227 W JANSS RD, SUITE 340, THOUSAND OAKS, CA 91360-1848
(805) 852-9100
(805) 852-9101
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
263949
NY
Other
Enumeration date
12/02/2005
Last updated
02/09/2022
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