Individual
DR. CARLOS ALBERTO FONSECA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3 TAMARACK CT, EASTON, PA 18040-8370
(610) 923-6155
Mailing address
3 TAMARACK CT, EASTON, PA 18040-8370
(610) 923-6155
Taxonomy
Speciality
Code
Description
License number
State
207ZF0201X
Forensic Pathology Physician
Primary
25MA06024500
NJ
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
MD051000L
PA
Other
Enumeration date
10/05/2009
Last updated
10/05/2009
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