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Individual

STEVEN FONDO

Active
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Individual

STEVEN FONDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
26NJ00838100
NJ
363LA2200X
Adult Health Nurse Practitioner
95004344
CA
363LA2200X
Adult Health Nurse Practitioner
Primary
R240280
MD
363LA2200X
Adult Health Nurse Practitioner
SP015895
PA

Other

Enumeration date
11/09/2016
Last updated
08/27/2019
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