Individual
STEVEN FONDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
289 COUNTRY CLUB DR, TELFORD, PA 18969-2286
(702) 449-2621
Mailing address
289 COUNTRY CLUB DR, TELFORD, PA 18969-2286
(702) 449-2621
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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